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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

Quick Facts

NPI
1205373107
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
4
Locations
1
Years in Practice
8

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