| Rebecca Wallace Counseling Llc | |
|
207 Peach Way Suite 110 Columbia MO 65203 | |
| (573) 777-8775 | |
| Not Available |
| Full Name | Rebecca Wallace Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 207 Peach Way, Columbia, Missouri |
| Authorized Official Name and Position | Rebecca Wallace (OWNER) |
| Authorized Official Contact | 3143080946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Wallace Counseling Llc 1800 N Garth Ave Columbia MO 65202-1547 Ph: (314) 308-0946 | Rebecca Wallace Counseling Llc 207 Peach Way Suite 110 Columbia MO 65203 Ph: (573) 777-8775 |
| NPI Number | 1982229498 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982229498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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