person
Prof. Kerry L Wallace, LMHC,NCC
Mental Health Counselor in Casselberry, Florida
NPI 1841234101

Kerry L Wallace is a Mental Health Counselor based in Longwood, FL and is specialized in Mental Health. Kerry L Wallace practices in Casselberry, FL and has the professional credentials of LMHC,NCC. The NPI Number for Kerry L Wallace is 1841234101 and holds a License No. MH 5283 (Florida).

The current practice location address for Kerry L Wallace is 661 Seminola Blvd, Casselberry, FL and can be reached out via phone at 407-333-0254 and via fax at 407-333-1231.

Location: 661 Seminola Blvd, Casselberry, FL, 32779-7016
person
Provider Profile Details
NPI Number
1841234101
Provider Name
Kerry L Wallace
Credential
LMHC,NCC
Provider Entity Type
Individual
Gender
Female
Address
661 Seminola Blvd, Casselberry, FL, 32779-7016
Phone Number
407-333-0254
Fax Number
407-333-1231
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
661 Seminola Blvd
City
State
Zip
32707-3057
Phone Number
407-333-0254
Fax Number
407-333-1231
person
Provider Business Mailing Address Details
Address
661 Seminola Blvd
City
State
Zip
32707-3057
Phone Number
407-333-0254
Fax Number
407-333-1231
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 5283 (Florida)
Definition
Definition to come...
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