Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. COLEMAN W WALLACE
ActiveMR. COLEMAN W WALLACE is a Pastoral Counselor healthcare provider located in WILLINGBORO, New Jersey. NPI 1720863913 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · WILLINGBORO, NJ
Registration Details
- NPI Number
- 1720863913
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2023 (3.0030513655961 yrs)
- Last Updated
- Aug 30, 2023
Practice Information
- Address
-
15 EDGE CTWILLINGBORO, NJ, 080462412Browse NJ providers · Browse ZIP 08046
- Phone
- 6095007139
- Primary Specialty
-
Pastoral Counselor
101YP1600X
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.