Jane Ann Wallace LPC

NPI 1366611675 - Counselor - 101YP2500X

NPI Details
NPI 1366611675
Gender Female
Enumeration Date 02/21/2008
Last Updated 06/29/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
2201 RIDGEWOOD RD
SUITE 400
WYOMISSING PA, 19610-1189, US
Phone (610) 378-9601
Fax
Business Location
2201 RIDGEWOOD RD
SUITE 400, PO BOX 6977
WYOMISSING PA, 19610-1189, US
Phone (610) 378-9601
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Pennsylvania
License Number PC004458
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According to our database, Mrs. Jane Ann Wallace LPC NPI is 1366611675, taxonomy code is 101YP2500X and license number is PC004458, license state is located at Pennsylvania. Jane Ann Wallace LPC physically located at 2201 Ridgewood Rd, Wyomissing PA, 19610-1189. NPI Number Jane Ann Wallace LPC has the Individual type.

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1366611675 NPI number is provided on an as is basis without warranty of any kind. 1366611675 is maintained by the National Plan & Provider Enumeration System. The contents of Jane Ann Wallace LPC are for informational purposes only.