person
Lisa Wallace
Mental Health Counselor in Milton, Massachusetts
NPI 1134575475

Lisa Wallace is a Mental Health Counselor based in Milton, MA and is specialized in Mental Health. Lisa Wallace practices in Milton, MA. The NPI Number for Lisa Wallace is 1134575475 and holds a License No. (Massachusetts).

The current practice location address for Lisa Wallace is 14 Farmer Rd, Milton, MA and can be reached out via phone at 617-615-5727.

Location: 14 Farmer Rd, Milton, MA, 02186-3743
person
Provider Profile Details
NPI Number
1134575475
Provider Name
Lisa Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
14 Farmer Rd, Milton, MA, 02186-3743
Phone Number
617-615-5727
Fax Number
Provider Enumeration Date
05/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14 Farmer Rd
City
State
Zip
02186-3743
Phone Number
617-615-5727
Fax Number
person
Provider Business Mailing Address Details
Address
14 Farmer Rd
City
State
Zip
02186-3743
Phone Number
617-615-5727
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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