Individual provider · Type 1 NPI
Ann Millsaps Wallace
Professional Counselor · Columbus, MS
NPI number
1083915656
Active
Practice location
455 Dickerson Ln
Columbus, MS 39705-1648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1398 (MS) |
Professional Counselor: Definition to come...
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About NPI 1083915656
Ann Millsaps Wallace's National Provider Identifier is 1083915656, issued on Nov 12, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbus, MS. The record was last updated on Nov 12, 2010.