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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1598124992

Mrs. Gennifer Wallace, MA is an Addiction (Substance Use Disorder) Counselor in Charlestown, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

7509 Charlestown Pike
Charlestown, IN 47111-9623
Phone: (812) 256-4686
Fax: (812) 256-4415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (IN)

Record details

NPI number1598124992
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedFebruary 15, 2016
Last updated in NPPESFebruary 15, 2016

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