Individual provider · Type 1 NPI

Angelina Victoria Wallace

Mental Health Counselor · Nashville, TN

NPI number 1013253319 Active

Practice location

1921 Ransom Pl
Nashville, TN 37217-3841

Mailing address

8215 Haley Rd
College Grove, TN 37046-9112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1013253319

Angelina Victoria Wallace's National Provider Identifier is 1013253319, issued on Dec 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nashville, TN. The record was last updated on Dec 14, 2012.