Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Aimee Rose Wallace, MA, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083256234

Mrs. Aimee Rose Wallace, MA, LPC is an Addiction (Substance Use Disorder) Counselor in Saint Charles, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2451 Executive Dr Ste 205
Saint Charles, MO 63303-5606
Phone: (314) 375-6599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2022020122
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1083256234
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

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