Quanesha Wallace, LPC-R

NPI 1447953435 · on the registry since 2023

Practice

Address: 3143 Magic Hollow Blvd Ste 100
Virginia Beach, VA 23453
Phone: (757) 385-6940
Organisation at this address: Mao Pharmacy, Inc.
City Of Virginia Beach
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Additional practice sites

1801 High St, Portsmouth, VA

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-09-07

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