Jennifer Wallace, MS, LPC, RPT

NPI #1013389113 in Cumming, Georgia

Provider Information

NPI Number
1013389113
Entity Type
Individual
Name
Jennifer Wallace, MS, LPC, RPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MS, LPC, RPT
Enumeration Date
Oct 28, 2015
Last Updated
Oct 28, 2015

Practice Location

Address
110 SAMARITAN DR
Address 2
SUITE 110
State
Georgia
ZIP Code
30040-2535
Phone
(888) 850-4891

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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