Individual
DR. JENNIFER MARLENE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1400 E PUGH DR STE 7, TERRE HAUTE, IN 47802-3942
(217) 712-9347
Mailing address
607 CHESTNUT ST, MARSHALL, IL 62441-1426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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