Individual provider · Type 1 NPI

Jessica M. Wallace, LPC

Professional Counselor · La Crosse, WI

NPI number 1932855871 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Other practice locations

  • 414 S East Ave, Viroqua, WI 54665-2006 · (608) 638-3332

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X5593125 (WI)
Professional Counselor Primary 101YP2500X5593 (WI)

Professional Counselor: Definition to come...

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About NPI 1932855871

Jessica M. Wallace, LPC's National Provider Identifier is 1932855871, issued on Mar 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in La Crosse, WI. The record was last updated on Mar 12, 2025.