Individual provider · Type 1 NPI

Jill Wallace, M.ED, LCPC

Professional Counselor · Topsham, ME

NPI number 1992029664 Active

About NPI 1992029664

Jill Wallace, M.ED, LCPC's National Provider Identifier is 1992029664, issued on Mar 24, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Topsham, ME. The record was last updated on Mar 24, 2010.