Allisha Wall, LPC

NPI #1073153052 in Saint Peters, Missouri

Provider Information

NPI Number: 1073153052
Entity Type: Individual
Name: Allisha Wall, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jan 8, 2020
Last Updated: Jan 8, 2020

Practice Location

Address: 5988 MID RIVERS MALL DR
City: Saint Peters
State: Missouri
ZIP Code: 63304-7119
Phone: (636) 362-4933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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