Individual
DR. WARREN S WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D, LPC
Contact information
Practice address
33 BERKSHIRE DR, SEWELL, NJ 08080-3104
(856) 302-5371
(856) 228-0999
Mailing address
33 BERKSHIRE DR, SEWELL, NJ 08080-3104
(856) 302-5371
(856) 228-0999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00165300
NJ
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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