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

Mrs. Diane Tamara Wallace, LAC

Individual provider Mental Health Counselor · NPI 1912729500

Mrs. Diane Tamara Wallace, LAC is a Mental Health Counselor in Union, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2024
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1830 Manor Dr
Union, NJ 07083-4617
Phone: (973) 978-2858
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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 · Licence 37AC00711600 (NJ)

Record details

NPI number1912729500
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024

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