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

Madison Wallace, MHP

Individual provider Mental Health Counselor · NPI 1003622937

Madison Wallace, MHP is a Mental Health Counselor in Dixon, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

325 Illinois Rt 2
Dixon, IL 61021-9118
Phone: (815) 284-6611
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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 number1003622937
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHP
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address325 Illinois Rt 2, Dixon, IL 61021-9118

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