Individual provider · Type 1 NPI

Simone Wallace

Counselor · Minneapolis, MN

NPI number 1043906027 Active

Practice location

1044 27th Ave SE Apt D
Minneapolis, MN 55414-2736

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043906027

Simone Wallace's National Provider Identifier is 1043906027, issued on Apr 13, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 13, 2023.