Individual provider · Type 1 NPI

Catherine Kelly Wallace

Counselor · Buffalo, NY

NPI number 1679095178 Active

Practice location

625 Delaware Ave Ste 204
Buffalo, NY 14202-1007

Fax (716) 886-4022

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 1679095178

Catherine Kelly Wallace's National Provider Identifier is 1679095178, issued on Jul 17, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Buffalo, NY. The record was last updated on Jul 21, 2022.