Individual provider · Type 1 NPI

Alicia A. Wallace, M.ED

Counselor · Keene, NH

NPI number 1356539217 Active

Practice location

17 93rd St
Keene, NH 03431-3748

Mailing address

39 Grove St Apt 2
Peterborough, NH 03458-1408

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.

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About NPI 1356539217

Alicia A. Wallace, M.ED's National Provider Identifier is 1356539217, issued on Oct 4, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Keene, NH. The record was last updated on Oct 4, 2007.