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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER DAWN WALLACE, LPCC/S

Active

JENNIFER DAWN WALLACE, LPCC/S is a Professional Counselor healthcare provider located in GEORGETOWN, Kentucky. NPI 1174158976 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · GEORGETOWN, KY

Registration Details

NPI Number
1174158976
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2020 (6.4035539973631 yrs)
Last Updated
Nov 20, 2020
Licenses
104157
104157 (KY)

Practice Information

Address
204 BEVINS LN STE A
GEORGETOWN, KY, 403246145
Browse KY providers · Browse ZIP 40324
Phone
8599519777
Fax
8599519779
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Counselor

Other Professional Counselor Providers in GEORGETOWN, KY

Name Credential NPI
STACY R SPRINGSTON LPCC 1467794750
MS. MITZI FINN LPCA 1811317852
STEPHANIE VITTITOE LPCC 1356710669
ALEXANDRA CHRISTINE JABS LPCC 1508224130
NATASHA PAINTER LPCC 1174975957
DR. TERESA JACOBSON DBH, LPCC, NCC 1033665716
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.