Individual provider · Type 1 NPI

Kincy Wallace

Mental Health Counselor · Westampton, NJ

NPI number 1154788842 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060

Call (609) 267-5928 Map

Other practice locations

3425 Cramer St., Pennsauken Township, NJ 08110 · (609) 267-5928

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 1154788842

Kincy Wallace's National Provider Identifier is 1154788842, issued on Jan 26, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Apr 16, 2019.