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Mr. Anthony Wallace, MASTER
Counselor in Coral Gables, Florida
NPI 1174025985

Anthony Wallace is a Counselor based in Coral Gables, FL. Anthony Wallace practices in Coral Gables, FL and has the professional credentials of MASTER. The NPI Number for Anthony Wallace is 1174025985 and holds a License No. (Florida).

The current practice location address for Anthony Wallace is 2222 Ponce De Leon Blvd Fl 3, Coral Gables, FL and can be reached out via phone at 866-305-7365.

Location: 2222 Ponce De Leon Blvd Fl 3, Coral Gables, FL, 33134-5039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174025985
Provider Name
Anthony Wallace
Credential
MASTER
Provider Entity Type
Individual
Gender
Male
Address
2222 Ponce De Leon Blvd Fl 3, Coral Gables, FL, 33134-5039
Phone Number
866-305-7365
Fax Number
Provider Enumeration Date
03/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2222 Ponce De Leon Blvd Fl 3
City
Coral Gables
State
Florida
Zip
33134-5039
Phone Number
866-305-7365
Fax Number
person
Provider Business Mailing Address Details
Address
2222 Ponce De Leon Blvd Fl 3
City
Coral Gables
State
Florida
Zip
33134-5039
Phone Number
866-305-7365
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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