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JUDITH WALLACE, MAC, LAT
MAC, LAT
Professional Counselor
NPI: 1205373107IndividualAccepts Medicare
Specialties, Licenses & Credentials
Acupuncturist
Acupuncturist
Code: 171100000X
A-030(WY)
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
2478(WY)
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
352(WY)
Mental Health Counselor
Counselor — Mental Health
Code: 101YM0800X
1359(WY)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 1221 W 5TH ST
SHERIDAN, WY 82801 - Phone
- (307) 674-4405
Quick Facts
- NPI
- 1205373107
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 8
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