Individual provider · Type 1 NPI

Lisa Wallace

Mental Health Counselor · Milton, MA

NPI number 1134575475 Active

Practice location

14 Farmer Rd
Milton, MA 02186-3743

Call (617) 615-5727 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134575475

Lisa Wallace's National Provider Identifier is 1134575475, issued on May 5, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milton, MA. The record was last updated on May 5, 2016.