NPI Registry.org

Rachel Wallace

NPI Registration Record

Provider / OrganizationNPIDate Certified
RACHEL WALLACE19125343632020-06-28
Entity TypeIndividual
Provider Name Rachel Wallace LCSW, LCADC
Practice Office Address3 CARDINAL LN
NEWTON, NJ US
Practice Office Telephone8623547484
Mailing AddressPO BOX 3021
NEWTON, NJ 078603021 US
Business Telephone8623547484
Contact Endpoints
secure email [][email protected]
HPT Codes
CodeLicense NoState
101YA0400X37LC00177500 NJ
101YM0800X PRIMARY44SC05158000
OPI Codes

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