Individual provider · Type 1 NPI

Nicole Janeen Wallace, LCMHC

Professional Counselor · Raleigh, NC

NPI number 1154820868 Active

Practice location

3041 Berks Way Ste 102C
Raleigh, NC 27614-6777

Call (919) 925-2274 Map

Fax (919) 820-8571

Mailing address

PO Box 627
Wake Forest, NC 27588-0627

Other practice locations

  • 7906 Hogan Dr, Wake Forest, NC 27587-6659 · (919) 306-2579
  • 174 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 · (919) 618-6526

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA13547 (NC)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1154820868

Nicole Janeen Wallace, LCMHC's National Provider Identifier is 1154820868, issued on Feb 8, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raleigh, NC. The record was last updated on Jan 5, 2021.