Juanita Wallace is a mental health counselor in Florissant, MO. Juanita Wallace NPI is 1326164278. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
570 SHACKELFORD RD
FLORISSANT, MO
ZIP 63031-457
Phone: (314) 583-0549
The enumeration date for this NPI number is 3/22/2007 and was last updated on 7/9/2007.