XAVIER WALLACE

Counselor

Active Individual
NPI: 1336531680

Practice Address

3406 GLACIER HWY
Juneau, AK 99801

Phone: (907) 463-3303

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1336531680 is the National Provider Identifier for XAVIER WALLACE, a Counselor provider located in Juneau, AK. This NPI was enumerated on February 24, 2015.
XAVIER WALLACE practices at 3406 GLACIER HWY, Juneau, AK 99801.

Quick Facts

NPI
1336531680
Type
Individual
Enumerated
Feb 24, 2015
Last Updated
Feb 24, 2015

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