Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTINA WALLACE
Active Sole ProprietorKRISTINA WALLACE is a Professional Counselor healthcare provider located in CROSS JUNCTION, Virginia. NPI 1538890728 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CROSS JUNCTION, VA
Registration Details
- NPI Number
- 1538890728
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2022 (4.1355265143964 yrs)
- Last Updated
- Jun 20, 2022
- Licenses
-
0701011020 (VA)0701011020 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
134 DOGWOOD DRCROSS JUNCTION, VA, 226252501Browse VA providers · Browse ZIP 22625
- Phone
- 3025288047
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
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.