Jolene C Wallace, COMS

NPI #1861853269 in Missoula, Montana

Provider Information

NPI Number: 1861853269
Entity Type: Individual
Name: Jolene C Wallace, COMS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Counselor - Orientation and Mobility Training Provider
Credential: COMS
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 110 APPLE HOUSE LN
City: Missoula
State: Montana
ZIP Code: 59802-3324
Phone: (406) 360-9480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor - Orientation and Mobility Training Provider — Orientation and Mobility Training Provider	225CX0006X	Primary

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