Individual provider · Type 1 NPI

Joey Lynn Wallace

Mental Health Counselor · Baltimore, MD

NPI number 1255977138 Active

Practice location

14 S Broadway
Baltimore, MD 21231-1712

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X25576 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1255977138

Joey Lynn Wallace's National Provider Identifier is 1255977138, issued on Nov 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baltimore, MD. The record was last updated on Nov 26, 2019.