Individual provider · Type 1 NPI

Judith Margaret Campbell Wallace, M.S.

Mental Health Counselor · Chattanooga, TN

NPI number 1811210495 Active

Practice location

6110 Shallowford Rd, Suite B
Chattanooga, TN 37421-1894

Call (423) 509-4123 Map

Mailing address

301 S. Perimeter Park Drive, Suite 210
Nashville, TN 37211-4143

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811210495

Judith Margaret Campbell Wallace, M.S.'s National Provider Identifier is 1811210495, issued on Mar 10, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chattanooga, TN. The record was last updated on Aug 7, 2017.