person
Heather Blake Wallace, MS
Professional Counselor in Cheyenne, Wyoming
NPI 1225812084

Heather Blake Wallace is a Professional Counselor based in Cheyenne, WY and is specialized in Professional. Heather Blake Wallace practices in Cheyenne, WY and has the professional credentials of MS. The NPI Number for Heather Blake Wallace is 1225812084 and holds a License No. (Wyoming).

The current practice location address for Heather Blake Wallace is 623 W 20Th St, Cheyenne, WY and can be reached out via phone at 307-426-4622.

Location: 623 W 20Th St, Cheyenne, WY, 82001-3501
person
Provider Profile Details
NPI Number
1225812084
Provider Name
Heather Blake Wallace
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
623 W 20Th St, Cheyenne, WY, 82001-3501
Phone Number
307-426-4622
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
623 W 20Th St
City
State
Zip
82001-3501
Phone Number
307-426-4622
Fax Number
person
Provider Business Mailing Address Details
Address
623 W 20Th St
City
State
Zip
82001-3501
Phone Number
307-426-4622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Wyoming)
Definition
Definition to come...
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