Individual provider · Type 1 NPI

Madonna Wallace

Mental Health Counselor · Batesville, AR

NPI number 1861883159 Active

Practice location

25 Gap Rd
Batesville, AR 72501-8679

Call (870) 793-8900 Map

Fax (870) 793-8959

Mailing address

25 Gap Road
Batesville, AR 72501-2578

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA 1501018 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1861883159

Madonna Wallace's National Provider Identifier is 1861883159, issued on Feb 9, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Batesville, AR. The record was last updated on Feb 9, 2015.