DR. WARREN S WALLACE ED.D, LPC
NPI 1851543979
Counselor - Professional in Sewell, NJ
Active since October 21, 2008
About Dr. Warren S Wallace Ed.d, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WARREN S WALLACE ED.D, LPC (NPI 1851543979) is an individual professional provider in Sewell, New Jersey, licensed in New Jersey (37PC00165300) and active in the NPI registry since October 2008.
NPPES Registry Identity
NPI1851543979
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. WARREN S WALLACECredential: ED.D, LPC
Location Address33 BERKSHIRE DRSewell, NJ 08080-3104
Mailing Address33 Berkshire DrSewell, NJ 08080-3104 · (856) 302-5371 · Fax (856) 228-0999
Phone(856) 302-5371
Fax(856) 228-0999
Sole ProprietorYes
Enumeration DateOctober 21, 2008
✔ NPI 1851543979 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00165300
33 BERKSHIRE DR, Sewell, NJ 08080
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851543979, enumerated as an "individual" on October 21, 2008.
The provider is located at 33 BERKSHIRE DR SEWELL, NJ 08080 and the phone number is (856) 302-5371.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
