Individual provider · Type 1 NPI

Anna Wallace

Mental Health Counselor · Charleston, SC

NPI number 1467157487 Active

Practice location

2100 Charlie Hall Blvd
Charleston, SC 29414-5832

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1467157487

Anna Wallace's National Provider Identifier is 1467157487, issued on Mar 31, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, SC. The record was last updated on Mar 31, 2023.