person
Jessica M Wallace, LPC
Mental Health Counselor in Viroqua, Wisconsin
NPI 1932855871

Jessica M Wallace is a Mental Health Counselor based in Viola, WI and is specialized in Mental Health. Jessica M Wallace practices in Viroqua, WI and has the professional credentials of LPC. The NPI Number for Jessica M Wallace is 1932855871 and holds a License No. 5593125 (Wisconsin).

The current practice location address for Jessica M Wallace is 414 S East Ave, Viroqua, WI and can be reached out via phone at 608-638-3332.

Location: 414 S East Ave, Viroqua, WI, 54664-8058
person
Provider Profile Details
NPI Number
1932855871
Provider Name
Jessica M Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
414 S East Ave, Viroqua, WI, 54664-8058
Phone Number
608-638-3332
Fax Number
Provider Enumeration Date
03/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
414 S East Ave
City
State
Zip
54665-2006
Phone Number
608-638-3332
Fax Number
person
Provider Business Mailing Address Details
Address
414 S East Ave
City
State
Zip
54665-2006
Phone Number
608-638-3332
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5593125 (Wisconsin)
Definition
Definition to come...
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