Individual provider · Type 1 NPI

James Wallace, MA, THM, STM

Counselor · St. Louis, MO

NPI number 1841088549 Active

Practice location

12801 Flushing Meadows Dr Ste 250
St. Louis, MO 63131-1829

Call (314) 626-4774 Map

Mailing address

854 Weatherwood Dr
Manchester, MO 63021-7144

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None 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 1841088549

James Wallace, MA, THM, STM's National Provider Identifier is 1841088549, issued on Apr 30, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 30, 2025.