MRS. Bonita Lucille Wallace, LPC is a professional counselor in Atlanta, GA. MRS. Bonita Lucille Wallace, LPC NPI is 1912364787. 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:
550 PHARR RD NE
SUITE 605
ATLANTA, GA
ZIP 30305-428
Phone: (404) 664-6398
Fax: (678) 705-2758
The enumeration date for this NPI number is 1/25/2016 and was last updated on 1/25/2016.