Individual provider · Type 1 NPI
Tiffany Wallace
Mental Health Counselor · Bellingham, MA
NPI number
1891418828
Active
Practice location
201 Village Ln
Bellingham, MA 02019-1136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | S01895123 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1891418828
Tiffany Wallace's National Provider Identifier is 1891418828, issued on Sep 23, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bellingham, MA. The record was last updated on Sep 23, 2022.