Mr. Christopher Peter Wallack I
Mr. Christopher Peter Wallack I is a Mental Health Counselor in Quincy, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
460 Quincy AveQuincy, MA 02169-8130
Phone: (239) 269-8276
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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 | 1821605429 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2020 |
| Last updated in NPPES | September 28, 2020 |
| Certification date | September 24, 2020 |
| Mailing address | 85 Austin St, Hyde Park, MA 02136-1532 |
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