Angela Wallace, LPC is a professional counselor in Saint Louis, MO. Angela Wallace, LPC NPI is 1417435819. 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:
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO
ZIP 63123-966
Phone: (314) 898-0102
Fax: (314) 842-2552
The NPI 1417435819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 7/30/2018 and was last updated on 11/2/2023.