Individual provider · Type 1 NPI

Kimberly Wallace, LMFT

Counselor · Carmel, IN

NPI number 1629301353 Active

Practice location

600 E Carmel Dr, Suite 143
Carmel, IN 46032-2803

Call (317) 730-5155 Map

Mailing address

3647 Tahoe Ct
Carmel, IN 46033-4152

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1629301353

Kimberly Wallace, LMFT's National Provider Identifier is 1629301353, issued on Sep 14, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Carmel, IN. The record was last updated on Dec 31, 2012.