person
Katherine Joan Wallace, LMHC
Mental Health Counselor in Columbus, Indiana
NPI 1356927388

Katherine Joan Wallace is a Mental Health Counselor based in Columbus, IN and is specialized in Mental Health. Katherine Joan Wallace practices in Columbus, IN and has the professional credentials of LMHC. The NPI Number for Katherine Joan Wallace is 1356927388 and holds a License No. 88001289A (Indiana).

The current practice location address for Katherine Joan Wallace is 719 5Th St, Columbus, IN and can be reached out via phone at 812-799-3530.

Location: 719 5Th St, Columbus, IN, 47201-8476
person
Provider Profile Details
NPI Number
1356927388
Provider Name
Katherine Joan Wallace
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
719 5Th St, Columbus, IN, 47201-8476
Phone Number
812-799-3530
Fax Number
Provider Enumeration Date
03/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39004527A 01 IN INDIANA BEHAVIORAL HEALTH LICENSING BOARD
institution
Provider Business Practice Location Address Details
Address
719 5Th St
City
State
Zip
47201-6306
Phone Number
812-799-3530
Fax Number
person
Provider Business Mailing Address Details
Address
719 5Th St
City
State
Zip
47201-6306
Phone Number
812-799-3530
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
88001289A (Indiana)
Definition
Definition to come...
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