person
Mrs. Ingrid Wallace, LPC,CRC
Professional Counselor in Wauwatosa, Wisconsin
NPI 1497866370

Ingrid Wallace is a Professional Counselor based in Wauwatosa, WI and is specialized in Professional. Ingrid Wallace practices in Wauwatosa, WI and has the professional credentials of LPC,CRC. The NPI Number for Ingrid Wallace is 1497866370 and holds a License No. 3065-125 (Wisconsin).

The current practice location address for Ingrid Wallace is 2525 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-476-8183 and via fax at 414-476-8465. You can also correspond with Ingrid Wallace through the mailing address at 2525 N MAYFAIR RD, WAUWATOSA, WI - 53226-1403 (mailing address contact number: 414-476-8183).

Location: 2525 N Mayfair Rd, Wauwatosa, WI, 53226-1403
person
Provider Profile Details
NPI Number
1497866370
Provider Name
Ingrid Wallace
Credential
LPC,CRC
Provider Entity Type
Individual
Gender
Female
Address
2525 N Mayfair Rd, Wauwatosa, WI, 53226-1403
Phone Number
414-476-8183
Fax Number
414-476-8465
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21280000 05 WI
institution
Provider Business Practice Location Address Details
Address
2525 N Mayfair Rd
City
State
Zip
53226-1403
Phone Number
414-476-8183
Fax Number
414-476-8465
person
Provider Business Mailing Address Details
Address
2525 N Mayfair Rd
City
State
Zip
53226-1403
Phone Number
414-476-8183
Fax Number
414-476-8465
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3065-125 (Wisconsin)
Definition
Definition to come...
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