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

Jennifer Wallace, MS, LPC, RPT

Individual provider Professional Counselor · NPI 1013389113

Jennifer Wallace, MS, LPC, RPT is a Professional Counselor in Cumming, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

110 Samaritan Dr Ste 110
Cumming, GA 30040-2535
Phone: (888) 850-4891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC007671 (GA)

Record details

NPI number1013389113
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC , RPT
Sole proprietorYes
NPI enumeratedOctober 28, 2015
Last updated in NPPESOctober 28, 2015
Mailing address110 Samaritan Dr, Suite 110, Cumming, GA 30040-2535

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