Krystal Jacquelyn Wallace, MSMABC
Krystal Jacquelyn Wallace, MSMABC is a Counselor in New Albany, Indiana. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
618 E Market StNew Albany, IN 47150-2914
Phone: (502) 579-1278
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Behavior Analyst | Taxonomy 103K00000X |
Record details
| NPI number | 1295438893 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSMABC |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2023 |
| Last updated in NPPES | March 23, 2023 |
| Certification date | March 23, 2023 |
| Mailing address | 2704 Allston Ave, Louisville, KY 40210-2004 |
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