Justine Wallace
Justine Wallace is a Professional Counselor in Newington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.
- Licensed in
- CT
- In the registry since
- 2010
Practice location Address checks out
419 Cedar StNewington, CT 06111-1812
Phone: (561) 271-5185
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 001902 (CT) |
|---|
Record details
| NPI number | 1487960662 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 25, 2010 |
| Last updated in NPPES | August 25, 2010 |
| Mailing address | 419 Cedar St, Newington, CT 06111-1812 |
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