Individual provider · Type 1 NPI

Jennifer Wallace, MS, LPC, RPT

Professional Counselor · Cumming, GA

NPI number 1013389113 Active

Practice location

110 Samaritan Dr, Suite 110
Cumming, GA 30040-2535

Call (888) 850-4891 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC007671 (GA)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1013389113

Jennifer Wallace, MS, LPC, RPT's National Provider Identifier is 1013389113, issued on Oct 28, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cumming, GA. The record was last updated on Oct 28, 2015.