Individual provider · Type 1 NPI
Dashae Wallace
Mental Health Counselor · Westampton, NJ
NPI number
1104538693
Active
Practice location
770 Woodlane Rd
Westampton, NJ 08060-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104538693
Dashae Wallace's National Provider Identifier is 1104538693, issued on Dec 16, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Dec 16, 2022.