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

Jorge Wallace, PLPC

Individual provider Professional Counselor · NPI 1164852422

Jorge Wallace, PLPC is a Professional Counselor in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2013

Practice location Address checks out

6532 Bartmer Ave 2E
Saint Louis, MO 63130-2630
Phone: (314) 299-5284
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2011039643 (MO)

Record details

NPI number1164852422
Entity typeIndividual (Type 1)
GenderMale
Credentials PLPC
Sole proprietorYes
NPI enumeratedNovember 22, 2013
Last updated in NPPESMay 26, 2016

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