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Judith Wallace, MAC,LAT
Mental Health Counselor in Sheridan, Wyoming
NPI 1205373107

Judith Wallace is a Mental Health Counselor based in Sheridan, WY and is specialized in Mental Health. Judith Wallace practices in Sheridan, WY and has the professional credentials of MAC,LAT. The NPI Number for Judith Wallace is 1205373107 and holds a License No. 352 (Wyoming).

The current practice location address for Judith Wallace is 1221 W 5Th St, Sheridan, WY and can be reached out via phone at 307-674-4405. You can also correspond with Judith Wallace through the mailing address at 1221 W 5TH ST, SHERIDAN, WY - 82801-2701 (mailing address contact number: 307-674-4405).

Location: 1221 W 5Th St, Sheridan, WY, 82801-2701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205373107
Provider Name
Judith Wallace
Credential
MAC,LAT
Provider Entity Type
Individual
Gender
Female
Address
1221 W 5Th St, Sheridan, WY, 82801-2701
Phone Number
307-674-4405
Fax Number
Provider Enumeration Date
01/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 W 5Th St
City
Sheridan
State
Wyoming
Zip
82801-2701
Phone Number
307-674-4405
Fax Number
person
Provider Business Mailing Address Details
Address
1221 W 5Th St
City
Sheridan
State
Wyoming
Zip
82801-2701
Phone Number
307-674-4405
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1359 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A-030 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
171100000X
License No.
352 (Wyoming)
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
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