Individual
BARBARA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
415 CHURCH ST NW STE 10, HUNTSVILLE, AL 35801-5573
(256) 536-4700
Mailing address
PO BOX 2409, HUNTSVILLE, AL 35804-2409
(256) 536-4700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LICSW5597C
AL
Other
Enumeration date
02/13/2024
Last updated
10/29/2025
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