Lisa Wallace
Lisa Wallace is a Mental Health Counselor in Milton, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
14 Farmer RdMilton, MA 02186-3743
Phone: (617) 615-5727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1134575475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2016 |
| Last updated in NPPES | May 5, 2016 |
| Mailing address | 14 Farmer Rd, Milton, MA 02186-3743 |
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