Search › Missouri › Mental Health Counselor
Juanita Wallace
NPI 1326164278 · on the registry since 2007 · sole proprietor
Practice
- Address
- 570 Shackelford Rd
Florissant, MO 63031 - Phone
- (314) 583-0549
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
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 Missouri