person
Ms. Shawna Alexandria Wallace-foster, MSLPC
Professional Counselor in Southaven, Mississippi
NPI 1518287192

Shawna Alexandria Wallace-foster is a Professional Counselor based in Southaven, MS and is specialized in Professional. Shawna Alexandria Wallace-foster practices in Southaven, MS and has the professional credentials of MSLPC. The NPI Number for Shawna Alexandria Wallace-foster is 1518287192 and holds a License No. (Mississippi).

The current practice location address for Shawna Alexandria Wallace-foster is 230 Goodman Rd E Ste 204, Southaven, MS and can be reached out via phone at 662-622-1838 and via fax at 833-355-5044.

Location: 230 Goodman Rd E Ste 204, Southaven, MS, 38671-6378
person
Provider Profile Details
NPI Number
1518287192
Provider Name
Shawna Alexandria Wallace-foster
Credential
MSLPC
Provider Entity Type
Individual
Gender
Female
Address
230 Goodman Rd E Ste 204, Southaven, MS, 38671-6378
Phone Number
662-622-1838
Fax Number
833-355-5044
Provider Enumeration Date
06/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
230 Goodman Rd E Ste 204
City
State
Zip
38671-8313
Phone Number
662-622-1838
Fax Number
833-355-5044
person
Provider Business Mailing Address Details
Address
230 Goodman Rd E Ste 204
City
State
Zip
38671-8313
Phone Number
662-622-1838
Fax Number
833-355-5044
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2680 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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