Individual provider · Type 1 NPI

Kimberly Wallace, LPC

Professional Counselor · Marietta, GA

NPI number 1083091987 Active

Practice location

2852 Johnson Ferry Rd Ste 100
Marietta, GA 30062-5686

Call (404) 906-9831 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008384 (GA)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1083091987

Kimberly Wallace, LPC's National Provider Identifier is 1083091987, issued on Apr 29, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Nov 24, 2023.