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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.