Individual provider · Type 1 NPI

Kristin Elise Wallace, LMHC

Mental Health Counselor · St. Petersburg, FL

NPI number 1043741069 Active

Practice location

3840 5th Ave N
St. Petersburg, FL 33713-7521

Call (727) 732-0864 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH14177 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1043741069

Kristin Elise Wallace, LMHC's National Provider Identifier is 1043741069, issued on Mar 22, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 6, 2023.