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Alicia A Wallace, MED
Counselor in Keene, New Hampshire
NPI 1356539217

Alicia A Wallace is a Counselor based in Peterborough, NH. Alicia A Wallace practices in Keene, NH and has the professional credentials of MED. The NPI Number for Alicia A Wallace is 1356539217 and holds a License No. (New Hampshire).

The current practice location address for Alicia A Wallace is 17 93Rd St, Keene, NH and can be reached out via phone at 603-357-5270.

Location: 17 93Rd St, Keene, NH, 03458-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356539217
Provider Name
Alicia A Wallace
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
17 93Rd St, Keene, NH, 03458-1408
Phone Number
603-357-5270
Fax Number
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 93Rd St
City
Keene
State
New Hampshire
Zip
03431-3748
Phone Number
603-357-5270
Fax Number
person
Provider Business Mailing Address Details
Address
17 93Rd St
City
Keene
State
New Hampshire
Zip
03431-3748
Phone Number
603-357-5270
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.
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