Individual provider · Type 1 NPI

Kellie Wallace, M.S.

Mental Health Counselor · Salem, MA

NPI number 1508148305 Active

Practice location

35 Congress St, Suite 214
Salem, MA 01970-5529

Call (508) 932-9235 Map

Mailing address

35 Congress Street, Suite 214
Salem, MA 01970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508148305

Kellie Wallace, M.S.'s National Provider Identifier is 1508148305, issued on Sep 16, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, MA. The record was last updated on Sep 16, 2011.