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

Kathleen Wallace

Individual provider Professional Counselor · NPI 1508794637

Kathleen Wallace is a Professional Counselor in Clinton Township, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

15600 19 Mile Rd
Clinton Township, MI 48038-3502
Phone: (586) 263-8700
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1508794637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address15600 19 Mile Rd, Clinton Township, MI 48038-3502

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