Individual provider · Type 1 NPI

Rebecca Wallace, LPC

Mental Health Counselor · Columbia, MO

NPI number 1417564477 Active

Practice location

207 Peach Way
Columbia, MO 65203-4905

Call (573) 777-8775 Map

Mailing address

1800 N Garth Ave
Columbia, MO 65202-1547

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2018039326 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1417564477

Rebecca Wallace, LPC's National Provider Identifier is 1417564477, issued on Sep 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, MO. The record was last updated on Sep 24, 2020.