Individual
JOSHUA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, MA
Contact information
Practice address
9007 WASHINGTON ST NE, ALBUQUERQUE, NM 87113-2722
(505) 699-8531
Mailing address
9007 WASHINGTON ST NE, ALBUQUERQUE, NM 87113-2722
(505) 699-8531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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