Individual provider · Type 1 NPI
Heather Blake Wallace, MS
Professional Counselor · Cheyenne, WY
NPI number
1225812084
Active
Practice location
623 W 20th St
Cheyenne, WY 82001-3501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1225812084
Heather Blake Wallace, MS's National Provider Identifier is 1225812084, issued on Aug 22, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cheyenne, WY. The record was last updated on Aug 22, 2023.