Individual provider · Type 1 NPI

Angela Wallace, LPC

Professional Counselor · St. Louis, MO

NPI number 1417435819 Active

Practice location

11166 Tesson Ferry Rd Ste 300
St. Louis, MO 63123-6966

Call (314) 898-0102 Map

Fax (314) 842-2552

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2016034902 (MO)

Professional Counselor: Definition to come...

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About NPI 1417435819

Angela Wallace, LPC's National Provider Identifier is 1417435819, issued on Jul 30, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Nov 2, 2023.