Individual
BIANCA ELIZABETH BARBER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 SULLYS TRL STE 7B, PITTSFORD, NY 14534-4563
(585) 593-6300
(585) 593-7071
Mailing address
141 SULLYS TRL STE 7B, PITTSFORD, NY 14534-4563
(585) 465-4026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011980
NY
Other
Enumeration date
03/29/2017
Last updated
04/01/2026
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