person
Justine Wallace
Professional Counselor in Newington, Connecticut
NPI 1487960662

Justine Wallace is a Professional Counselor based in Newington, CT and is specialized in Professional. Justine Wallace practices in Newington, CT. The NPI Number for Justine Wallace is 1487960662 and holds a License No. 001902 (Connecticut).

The current practice location address for Justine Wallace is 419 Cedar St, Newington, CT and can be reached out via phone at 561-271-5185. You can also correspond with Justine Wallace through the mailing address at 419 CEDAR ST, NEWINGTON, CT - 06111-1812 (mailing address contact number: ).

Location: 419 Cedar St, Newington, CT, 06111-1812
person
Provider Profile Details
NPI Number
1487960662
Provider Name
Justine Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
419 Cedar St, Newington, CT, 06111-1812
Phone Number
561-271-5185
Fax Number
Provider Enumeration Date
08/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
419 Cedar St
City
State
Zip
06111-1812
Phone Number
561-271-5185
Fax Number
person
Provider Business Mailing Address Details
Address
419 Cedar St
City
State
Zip
06111-1812
Phone Number
561-271-5185
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001902 (Connecticut)
Definition
Definition to come...
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