person
Nicole Janeen Wallace, LCMHC
Professional Counselor in Raleigh, North Carolina
NPI 1154820868

Nicole Janeen Wallace is a Professional Counselor based in Wake Forest, NC and is specialized in Professional. Nicole Janeen Wallace practices in Raleigh, NC and has the professional credentials of LCMHC. The NPI Number for Nicole Janeen Wallace is 1154820868 and holds a License No. A13547 (North Carolina).

The current practice location address for Nicole Janeen Wallace is 3041 Berks Way Ste 102C, Raleigh, NC and can be reached out via phone at 919-925-2274 and via fax at 919-820-8571.

Location: 3041 Berks Way Ste 102C, Raleigh, NC, 27588-0627
person
Provider Profile Details
NPI Number
1154820868
Provider Name
Nicole Janeen Wallace
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
3041 Berks Way Ste 102C, Raleigh, NC, 27588-0627
Phone Number
919-925-2274
Fax Number
919-820-8571
Provider Enumeration Date
02/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3041 Berks Way Ste 102C
City
State
Zip
27614-6777
Phone Number
919-925-2274
Fax Number
919-820-8571
person
Provider Business Mailing Address Details
Address
3041 Berks Way Ste 102C
City
State
Zip
27614-6777
Phone Number
919-925-2274
Fax Number
919-820-8571
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A13547 (North Carolina)
Definition
Definition to come...
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