Individual
KRISTEN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 SHAKERAG HL STE 314, PEACHTREE CITY, GA 30269-6523
(678) 429-7842
Mailing address
6000 SHAKERAG HL STE 314, PEACHTREE CITY, GA 30269-6523
(678) 429-7842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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