person
Ms. Tara Grace Wallace
Mental Health Counselor in Lincoln, Rhode Island
NPI 1164295598

Tara Grace Wallace is a Mental Health Counselor based in Johnston, RI and is specialized in Mental Health. Tara Grace Wallace practices in Lincoln, RI. The NPI Number for Tara Grace Wallace is 1164295598 and holds a License No. (Rhode Island).

The current practice location address for Tara Grace Wallace is 640 George Washington Hwy, Lincoln, RI and can be reached out via phone at 401-372-4535.

Location: 640 George Washington Hwy, Lincoln, RI, 02919-3545
person
Provider Profile Details
NPI Number
1164295598
Provider Name
Tara Grace Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
640 George Washington Hwy, Lincoln, RI, 02919-3545
Phone Number
401-372-4535
Fax Number
Provider Enumeration Date
11/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
640 George Washington Hwy
City
State
Zip
02865
Phone Number
401-372-4535
Fax Number
person
Provider Business Mailing Address Details
Address
640 George Washington Hwy
City
State
Zip
02865
Phone Number
401-372-4535
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Rhode Island)
Definition
Definition to come...
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