Individual provider · Type 1 NPI
Jennifer Marlene Wallace, LMHC
Mental Health Counselor · Terre Haute, IN
NPI number
1124909254
Active
Practice location
1400 E Pugh Dr Ste 7
Terre Haute, IN 47802-3942
Mailing address
607 Chestnut St
Marshall, IL 62441-1426
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 1124909254
Jennifer Marlene Wallace, LMHC's National Provider Identifier is 1124909254, issued on Sep 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Terre Haute, IN. The record was last updated on Sep 8, 2025.