Individual provider · Type 1 NPI
Warren S. Wallace, ED.D, LPC
Professional Counselor · Sewell, NJ
NPI number
1851543979
Active
Practice location
33 Berkshire Dr
Sewell, NJ 08080-3104
Fax (856) 228-0999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00165300 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1851543979
Warren S. Wallace, ED.D, LPC's National Provider Identifier is 1851543979, issued on Oct 21, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sewell, NJ. The record was last updated on Oct 21, 2008.