CHANTEL WALLACE

Mental Health Counselor

NPI: 1669234308Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

LMSW-43731(ID)

Contact & Hours

Address: 581 N ASH ST
BLACKFOOT, ID 83221
Phone: (208) 973-5077

Quick Facts

NPI: 1669234308
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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