Rachael Wallace, LMHC Valid NPI

Individual provider · Mental Health Counselor · Fort Walton Beach, FL

NPI

1912342759

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

LH60634249 (WA)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-05-07

Last updated

2023-03-13