Individual provider · Type 1 NPI

Allisha Wall, LPC

Professional Counselor · St. Peters, MO

NPI number 1073153052 Active

Practice location

5988 Mid Rivers Mall Dr
St. Peters, MO 63304-7119

Call (636) 362-4933 Map

Mailing address

18 Meadow Ridge Dr
St. Peters, MO 63376-3051

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2016045021 (MO)

Professional Counselor: Definition to come...

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About NPI 1073153052

Allisha Wall, LPC's National Provider Identifier is 1073153052, issued on Jan 8, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Peters, MO. The record was last updated on Jan 8, 2020.