Individual provider · Type 1 NPI

Bradley Wallace

Mental Health Counselor · Pittsburgh, PA

NPI number 1942996418 Active

Practice location

333 N Braddock Ave
Pittsburgh, PA 15208-2512

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1942996418

Bradley Wallace's National Provider Identifier is 1942996418, issued on Apr 17, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pittsburgh, PA. The record was last updated on Apr 17, 2023.