Individual provider · Type 1 NPI
Pamela Michelle Wallace
Mental Health Counselor · Dorchester Center, MA
NPI number
1407154768
Active
Practice location
917 Blue Hill Ave, #5
Dorchester Center, MA 02124-2948
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 1407154768
Pamela Michelle Wallace's National Provider Identifier is 1407154768, issued on Mar 9, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dorchester Center, MA. The record was last updated on Mar 9, 2011.