Individual provider · Type 1 NPI

Jennifer Lee Wallace, MSW, LSW

Mental Health Counselor · Fleetwood, PA

NPI number 1679983449 Active

Practice location

1 W Main St
Fleetwood, PA 19522-1323

Call (610) 944-0445 Map

Fax (610) 944-8834

Mailing address

555 Ridge Rd
Orwigsburg, PA 17961-2217

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XSW126587 (PA)

Mental Health Counselor: Definition to come...

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About NPI 1679983449

Jennifer Lee Wallace, MSW, LSW's National Provider Identifier is 1679983449, issued on May 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fleetwood, PA. The record was last updated on May 2, 2014.