Individual provider · Type 1 NPI

Ashley Wallace

Mental Health Counselor · Pottstown, PA

NPI number 1104552579 Active

Practice location

11 Robinson St
Pottstown, PA 19464-6421

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104552579

Ashley Wallace's National Provider Identifier is 1104552579, issued on Jul 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pottstown, PA. The record was last updated on Jul 28, 2022.