person
Mrs. Tracey Wallace
Mental Health Counselor in Atlanta, Georgia
NPI 1053748038

Tracey Wallace is a Mental Health Counselor based in Atlanta, GA and is specialized in Mental Health. Tracey Wallace practices in Atlanta, GA. The NPI Number for Tracey Wallace is 1053748038 and holds a License No. (Georgia).

The current practice location address for Tracey Wallace is 122 Wolf Tail Ct Sw, Atlanta, GA and can be reached out via phone at 336-210-2957.

Location: 122 Wolf Tail Ct Sw, Atlanta, GA, 30349-6547
person
Provider Profile Details
NPI Number
1053748038
Provider Name
Tracey Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
122 Wolf Tail Ct Sw, Atlanta, GA, 30349-6547
Phone Number
336-210-2957
Fax Number
Provider Enumeration Date
10/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
122 Wolf Tail Ct Sw
City
State
Zip
30349-6547
Phone Number
336-210-2957
Fax Number
person
Provider Business Mailing Address Details
Address
122 Wolf Tail Ct Sw
City
State
Zip
30349-6547
Phone Number
336-210-2957
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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