Individual provider · Type 1 NPI

Aimee Rose Wallace, MA, LPC

Professional Counselor · St. Charles, MO

NPI number 1083256234 Active

Practice location

2451 Executive Dr Ste 205
St. Charles, MO 63303-5606

Call (314) 375-6599 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500X2022020122

Professional Counselor: Definition to come...

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About NPI 1083256234

Aimee Rose Wallace, MA, LPC's National Provider Identifier is 1083256234, issued on Oct 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Charles, MO. The record was last updated on May 8, 2026.