Willie Wallace is a counselor in Minneapolis, MN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Willie Wallace NPI is 1750773982. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
227 COLFAX AVE N STE 130
MINNEAPOLIS, MN
ZIP 55405-408
Phone: (612) 259-7384
The enumeration date for this NPI number is 2/25/2015 and was last updated on 2/25/2015.