Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTINE WALLACE
ActiveJUSTINE WALLACE is a Professional Counselor healthcare provider located in NEWINGTON, Connecticut. NPI 1487960662 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · NEWINGTON, CT
Registration Details
- NPI Number
- 1487960662
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2010 (15.929062969767 yrs)
- Last Updated
- Aug 25, 2010
- License
-
001902 (CT)
Practice Information
- Address
-
419 CEDAR STNEWINGTON, CT, 061111812Browse CT providers · Browse ZIP 06111
- Phone
- 5612715185
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in NEWINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. ADA G. RODRIGUEZ | MA, LPC | 1962519629 |
| DR. JOAN-ALICE TAYLOR | P.T., PSY.D., L.P.C. | 1710059167 |
| DR. MAURICE RANDOLPH MILES | PSY.D. | 1346393824 |
| BEVERLY SHOENBERGER | L.P.C. | 1437297975 |
| MARIE T. CLAVECILLA-CHAN | M.A. | 1598807810 |
| ERIN ELIZABETH EICKENHORST | LPC, M.A. | 1700062197 |
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.