Individual provider · Type 1 NPI

Kerry L. Wallace, LMHC, NCC

Mental Health Counselor · Casselberry, FL

NPI number 1841234101 Active

Practice location

661 Seminola Blvd
Casselberry, FL 32707-3057

Call (407) 333-0254 Map

Fax (407) 333-1231

Mailing address

1841 Crowley Cir E
Longwood, FL 32779-7016

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 5283 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1841234101

Kerry L. Wallace, LMHC, NCC's National Provider Identifier is 1841234101, issued on Jun 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Casselberry, FL. The record was last updated on Jul 8, 2007.