person
Edwina Wallace
Mental Health Counselor in Battle Creek, Michigan
NPI 1003382938

Edwina Wallace is a Mental Health Counselor based in Battle Creek, MI and is specialized in Mental Health. Edwina Wallace practices in Battle Creek, MI. The NPI Number for Edwina Wallace is 1003382938 and holds a License No. 6401011732 (Michigan).

The current practice location address for Edwina Wallace is 140 Michigan Ave W, Battle Creek, MI and can be reached out via phone at 269-966-1460 and via fax at 269-966-2844. You can also correspond with Edwina Wallace through the mailing address at 140 MICHIGAN AVE W, BATTLE CREEK, MI - 49017-3602 (mailing address contact number: 269-966-1460).

Location: 140 Michigan Ave W, Battle Creek, MI, 49017-3602
person
Provider Profile Details
NPI Number
1003382938
Provider Name
Edwina Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
140 Michigan Ave W, Battle Creek, MI, 49017-3602
Phone Number
269-966-1460
Fax Number
269-966-2844
Provider Enumeration Date
10/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401011732 01 MI LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
140 Michigan Ave W
City
State
Zip
49017-3602
Phone Number
269-966-1460
Fax Number
269-966-2844
person
Provider Business Mailing Address Details
Address
140 Michigan Ave W
City
State
Zip
49017-3602
Phone Number
269-966-1460
Fax Number
269-966-2844
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401011732 (Michigan)
Definition
Definition to come...
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