Individual provider · Type 1 NPI

Alyssa Marie Wallace, LMHC

Mental Health Counselor · Syracuse, NY

NPI number 1992311047 Active

Practice location

1045 James St Ste 100
Syracuse, NY 13203-2758

Call (315) 425-1004 Map

Fax (315) 479-7884

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X01699 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1992311047

Alyssa Marie Wallace, LMHC's National Provider Identifier is 1992311047, issued on Sep 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Syracuse, NY. The record was last updated on May 1, 2023.