Individual provider · Type 1 NPI

Madison Wallace, MHP

Mental Health Counselor · Dixon, IL

NPI number 1003622937 Active

Practice location

325 Illinois Rt 2
Dixon, IL 61021-9118

Call (815) 284-6611 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

90 other providers at this address

Other mental health counselor providers in Dixon

See all in Dixon →

About NPI 1003622937

Madison Wallace, MHP's National Provider Identifier is 1003622937, issued on Dec 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Dec 5, 2024.