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

MADISON WALLACE, LPCC

Active

MADISON WALLACE, LPCC is a Professional Counselor healthcare provider located in LEXINGTON, Kentucky. NPI 1205378031 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LEXINGTON, KY

Registration Details

NPI Number
1205378031
Provider Type
Individual
Gender
Female
NPI Issued
Nov 10, 2016 (9.7440877411546 yrs)
Last Updated
Nov 19, 2024
License
260537 (KY)

Practice Information

Address
450 OLD VINE ST STE 305
LEXINGTON, KY, 405071544
Browse KY providers · Browse ZIP 40507
Phone
8596674301
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in LEXINGTON, KY

Name Credential NPI
MRS. KIMBERLY K BILLINGS LPCC 1740231232
LISA NICHOLSON LPCC 1467561373
NATHAN B. MAYO LPCC 1134213879
JANET LEE VESSELS LPCC 1568536019
DAVID A CHRISTNER LPCC 1023166469
MS. WANDA L DAY LPCC 1518016849
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.