person
Shanthalitta Seals Wallace, LMHC
Mental Health Counselor in Jacksonville, Florida
NPI 1659848539

Shanthalitta Seals Wallace is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Shanthalitta Seals Wallace practices in Jacksonville, FL and has the professional credentials of LMHC. The NPI Number for Shanthalitta Seals Wallace is 1659848539 and holds a License No. MH15387 (Florida).

The current practice location address for Shanthalitta Seals Wallace is 9617 Watershed Dr E, Jacksonville, FL and can be reached out via phone at 860-496-0909.

Location: 9617 Watershed Dr E, Jacksonville, FL, 32220-0906
person
Provider Profile Details
NPI Number
1659848539
Provider Name
Shanthalitta Seals Wallace
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
9617 Watershed Dr E, Jacksonville, FL, 32220-0906
Phone Number
860-496-0909
Fax Number
Provider Enumeration Date
10/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9617 Watershed Dr E
City
State
Zip
32220-0906
Phone Number
860-496-0909
Fax Number
person
Provider Business Mailing Address Details
Address
9617 Watershed Dr E
City
State
Zip
32220-0906
Phone Number
860-496-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH15387 (Florida)
Definition
Definition to come...
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