Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUANITA WALLACE
Active Sole ProprietorJUANITA WALLACE is a Mental Health Counselor healthcare provider located in FLORISSANT, Missouri. NPI 1326164278 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · FLORISSANT, MO
Registration Details
- NPI Number
- 1326164278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2007 (19.360996792899 yrs)
- Last Updated
- Jul 9, 2007
- License
-
2002006418 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
570 SHACKELFORD RDFLORISSANT, MO, 630315457Browse MO providers · Browse ZIP 63031
- Phone
- 3145830549
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in FLORISSANT, MO
| Name | Credential | NPI |
|---|---|---|
| MS. MARILYN A COFFMAN | L.P.C. | 1053301531 |
| DR. JOSEPH DENNIS CUSUMANO | PH.D., LPC, NCC | 1134178288 |
| MS. YWINTA JONES | LPC | 1871787143 |
| ROBIN NICOLE HICKMAN | — | 1942603055 |
| MRS. JULIE MATTINGLY | PLPC | 1881057487 |
| JESSICA LYNNE MCDONALD | — | 1679005136 |
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.