Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK JOHN WALLACE JR.
ActivePATRICK JOHN WALLACE JR. is a Mental Health Counselor healthcare provider located in MAPLE GROVE, Minnesota. NPI 1811853112 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1811853112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2025 (0.60411610164228 yrs)
- Last Updated
- Dec 30, 2025
Practice Information
- Address
-
13603 80TH CIR NMAPLE GROVE, MN, 553698961Browse MN providers · Browse ZIP 55369
- Phone
- 7632743120
- Fax
- 7632743121
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. DANIELLE MALO LINK | LPCC | 1164631230 |
| MS. ELIZABETH JORDAN-O'DONNELL | M.A., LPC | 1760791248 |
| MR. TIMOTHY JAMES FRANCISCO | MA, LPCC | 1467717850 |
| KRISTIN LEE MOEN | MA, LPCC | 1457790990 |
| JENNA SEAL | LPCC | 1962831222 |
| CHRISTINA BUSCKO | LPCC | 1639573942 |
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.