Individual provider · Type 1 NPI

Elisabeth Neelon Wallace, LICSW

Mental Health Counselor · Lexington, MA

NPI number 1497811822 Active

Practice location

481 Concord Ave
Lexington, MA 02421-8007

Call (781) 354-7327 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1023735 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1497811822

Elisabeth Neelon Wallace, LICSW's National Provider Identifier is 1497811822, issued on Dec 29, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, MA. The record was last updated on Oct 9, 2012.