Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aja Monique Wallace

Individual provider Mental Health Counselor · NPI 1437933777

Aja Monique Wallace is a Mental Health Counselor in Vicksburg, Mississippi. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1905 Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 738-5820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1437933777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address1905 Mission 66, Vicksburg, MS 39180-3711

Other providers in Vicksburg