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Individual

ALLISON WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MHSP

Contact information

Practice address
822 MERIDIAN ST UNIT B, NASHVILLE, TN 37207-5850
(860) 682-0146
Mailing address
822 MERIDIAN ST UNIT B, NASHVILLE, TN 37207-5850

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6156
TN

Other

Enumeration date
09/11/2023
Last updated
06/02/2025
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