Kristina Wallace, is a
Counselor - Professional based in Cross Junction, Virginia. Kristina Wallace is licensed to practice in Virginia (license number 0701011020) and her current practice location is
134 Dogwood Dr, Cross Junction, Virginia. She can be reached at her office (for appointments etc.) via phone at
(302) 528-8047.
NPI number for Kristina Wallace is 1538890728 and her current mailing address is 134 Dogwood Dr, Cross Junction, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538890728.
Healthcare Provider's Profile
Full Name | Kristina Wallace |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 134 Dogwood Dr, Cross Junction, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538890728
- Provider Enumeration Date: 06/20/2022
- Last Update Date: 06/20/2022
Medical Identifiers
Medical identifiers for Kristina Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538890728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0701011020 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701011020 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristina Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristina Wallace, 134 Dogwood Dr, Cross Junction, VA 22625-2501 Ph: (130) 252-8804 | Kristina Wallace, 134 Dogwood Dr, Cross Junction, VA 22625-2501 Ph: (302) 528-8047 |
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