AMANDA WALLACE
Counselor - Mental Health
Active
Individual
NPI: 1467819276
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1467819276 is the National Provider Identifier for AMANDA WALLACE, a Counselor - Mental Health provider located in Melbourne, FL. This NPI was enumerated on January 25, 2016.
AMANDA WALLACE practices at 4450 W EAU GALLIE BLVD, SUITE 200, Melbourne, FL 32934.
Quick Facts
- NPI
- 1467819276
- Type
- Individual
- Enumerated
- Jan 25, 2016
- Last Updated
- Mar 10, 2023
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