Jill Wallace is a professional counselor in Wauwatosa, WI. Jill Wallace NPI is 1871240978. 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:
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI
ZIP 53226-306
Phone: (414) 933-9390
The enumeration date for this NPI number is 3/8/2022 and was last updated on 3/8/2022.