person
Amanda Wallace
Mental Health Counselor in Melbourne, Florida
NPI 1467819276

Amanda Wallace is a Mental Health Counselor based in Melbourne, FL and is specialized in Mental Health. Amanda Wallace practices in Melbourne, FL. The NPI Number for Amanda Wallace is 1467819276 and holds a License No. (Florida).

The current practice location address for Amanda Wallace is 4450 W Eau Gallie Blvd, Melbourne, FL and can be reached out via phone at 321-726-2860.

Location: 4450 W Eau Gallie Blvd, Melbourne, FL, 32901-3184
person
Provider Profile Details
NPI Number
1467819276
Provider Name
Amanda Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
4450 W Eau Gallie Blvd, Melbourne, FL, 32901-3184
Phone Number
321-726-2860
Fax Number
Provider Enumeration Date
01/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4450 W Eau Gallie Blvd
City
State
Zip
32934-7213
Phone Number
321-726-2860
Fax Number
person
Provider Business Mailing Address Details
Address
4450 W Eau Gallie Blvd
City
State
Zip
32934-7213
Phone Number
321-726-2860
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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