person
Kanishia Wallace
Mental Health Counselor in Deerfield Beach, Florida
NPI 1023413515

Kanishia Wallace is a Mental Health Counselor based in Deerfield Beach, FL and is specialized in Mental Health. Kanishia Wallace practices in Deerfield Beach, FL. The NPI Number for Kanishia Wallace is 1023413515 and holds a License No. (Florida).

The current practice location address for Kanishia Wallace is 500 Fairway Dr Ste 102, Deerfield Beach, FL and can be reached out via phone at 888-880-9270. You can also correspond with Kanishia Wallace through the mailing address at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL - 33441-1817 (mailing address contact number: 888-880-9270).

Location: 500 Fairway Dr Ste 102, Deerfield Beach, FL, 33441-1817
person
Provider Profile Details
NPI Number
1023413515
Provider Name
Kanishia Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Fairway Dr Ste 102, Deerfield Beach, FL, 33441-1817
Phone Number
888-880-9270
Fax Number
Provider Enumeration Date
10/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Fairway Dr Ste 102
City
State
Zip
33441-1817
Phone Number
888-880-9270
Fax Number
person
Provider Business Mailing Address Details
Address
500 Fairway Dr Ste 102
City
State
Zip
33441-1817
Phone Number
888-880-9270
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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