Josephine Wallace, RBT

NPI 1306669544 · on the registry since 2024 · sole proprietor

Practice

Address: 804 Moorefield Park Dr Ste 101
North Chesterfield, VA 23236
Phone: (804) 985-1050
Organisation at this address: Greg Amodeo Llc
Dr. Allison, Llc.
Positive Moods Llc
Free Bird Counseling Pllc
Ozymandias Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia