Individual provider · Type 1 NPI

Shatavea Wallace

Counselor · Westampton, NJ

NPI number 1144196833 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Call (609) 267-5928 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4,575 other providers at this address

Other counselor providers in Westampton

See all in Westampton →

About NPI 1144196833

Shatavea Wallace's National Provider Identifier is 1144196833, issued on Oct 11, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Westampton, NJ. The record was last updated on Sep 25, 2026.