Organization
REBECCA WALLACE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WALLACE LPC (OWNER)
(314) 308-0946
Entity
Organization
Contact information
Practice address
207 PEACH WAY, SUITE 110, COLUMBIA, MO 65203
(573) 777-8775
Mailing address
1800 N GARTH AVE, COLUMBIA, MO 65202-1547
(314) 308-0946
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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