Individual provider · Type 1 NPI
Vanessa Esther Wallace, MSW, LSW
Mental Health Counselor · Williamstown, NJ
NPI number
1487230405
Active
Practice location
209 W Lois Dr
Williamstown, NJ 08094-1331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 44SL06851200 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1487230405
Vanessa Esther Wallace, MSW, LSW's National Provider Identifier is 1487230405, issued on Mar 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Williamstown, NJ. The record was last updated on Feb 10, 2025.