Search › New Jersey › 101YP2500X
Warren Wallace, ED.D, LPC
NPI 1851543979 · on the registry since 2008 · sole proprietor
Practice
- Address
- 33 Berkshire Dr
Sewell, NJ 08080 - Phone
- (856) 302-5371
- Fax
- (856) 228-0999
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-21
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 New Jersey