Individual provider · Type 1 NPI

Margaret Susan Wallace

Mental Health Counselor · Fort Wayne, IN

NPI number 1639428931 Active

Practice location

6315 Mutual Dr, Suite B
Fort Wayne, IN 46825-4238

Call (260) 409-8188 Map

Fax (866) 742-8426

Mailing address

10214 Chestnut Plaza Dr, #130
Fort Wayne, IN 46814-8970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39002298A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1639428931

Margaret Susan Wallace's National Provider Identifier is 1639428931, issued on Aug 31, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 31, 2012.