Individual
KASIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(800) 575-7223
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(800) 575-7223
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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