Chantel Lee Wallace
NPI #1669234308 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1669234308
- Entity Type
- Individual
- Name
- Chantel Lee Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 29, 2024
- Last Updated
- Jan 29, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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