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

Shatavea Wallace

Individual provider Counselor · NPI 1144196833

Shatavea Wallace is a Counselor in Glassboro, New Jersey. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

42 Delsea Dr S
Glassboro, NJ 08028-2621
Phone: (844) 422-3632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1144196833
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2025
Last updated in NPPESOctober 11, 2025
Certification dateOctober 11, 2025
Mailing address249 Fir Tree Ct, Evesham, NJ 08053-2010

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