Individual provider · Type 1 NPI

Renee Wallace, CSW

Counselor · Sandy, UT

NPI number 1487584595 Active

Practice location

9844 S 1300 E
Sandy, UT 84094-4673

Call (801) 810-5037 Map

Mailing address

747 E Village Way
Sandy, UT 84094-1860

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X14028854-3502 (UT)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1487584595

Renee Wallace, CSW's National Provider Identifier is 1487584595, issued on May 20, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sandy, UT. The record was last updated on May 20, 2026.