Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LEE WALLACE, MSW, LSW
ActiveJENNIFER LEE WALLACE, MSW, LSW is a Mental Health Counselor healthcare provider located in FLEETWOOD, Pennsylvania. NPI 1679983449 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · FLEETWOOD, PA
Registration Details
- NPI Number
- 1679983449
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2014 (12.101579103566 yrs)
- Last Updated
- May 2, 2014
- License
-
SW126587 (PA)
Practice Information
- Address
-
1 W MAIN STFLEETWOOD, PA, 195221323Browse PA providers · Browse ZIP 19522
- Phone
- 6109440445
- Fax
- 6109448834
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in FLEETWOOD, PA
| Name | Credential | NPI |
|---|---|---|
| MARTA SMITH | MA | 1669883690 |
| CLAIRE ELIZABETH LOOMIS | LPC | 1558904334 |
| BRENNA FEHR | MA, LPC | 1952915803 |
| TAHSEEN UR REHMAN | — | 1154156149 |
| CAITLIN ROMANO | — | 1356161731 |
| CORA RAIN FERNANDEZ | LPC | 1366317489 |
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.