Individual provider · Type 1 NPI
Jennifer Anne Wallace, LPC
Professional Counselor · Woodway, TX
NPI number
1942927090
Active
Practice location
9503 Oak Springs Dr
Woodway, TX 76712-6401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 89792 (TX) |
Professional Counselor: Definition to come...
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About NPI 1942927090
Jennifer Anne Wallace, LPC's National Provider Identifier is 1942927090, issued on Oct 19, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodway, TX. The record was last updated on Oct 19, 2022.