person
Kristin Elise Wallace, LMHC
Mental Health Counselor in St Petersburg, Florida
NPI 1043741069

Kristin Elise Wallace is a Mental Health Counselor based in St Petersburg, FL and is specialized in Mental Health. Kristin Elise Wallace practices in St Petersburg, FL and has the professional credentials of LMHC. The NPI Number for Kristin Elise Wallace is 1043741069 and holds a License No. MH14177 (Florida).

The current practice location address for Kristin Elise Wallace is 3840 5Th Ave N, St Petersburg, FL and can be reached out via phone at 727-732-0864.

Location: 3840 5Th Ave N, St Petersburg, FL, 33713-7521
person
Provider Profile Details
NPI Number
1043741069
Provider Name
Kristin Elise Wallace
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
3840 5Th Ave N, St Petersburg, FL, 33713-7521
Phone Number
727-732-0864
Fax Number
Provider Enumeration Date
03/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3840 5Th Ave N
City
State
Zip
33713-7521
Phone Number
727-732-0864
Fax Number
person
Provider Business Mailing Address Details
Address
3840 5Th Ave N
City
State
Zip
33713-7521
Phone Number
727-732-0864
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH14177 (Florida)
Definition
Definition to come...
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