Lisa Wallace is a mental health counselor in Jacksonville, FL. Lisa Wallace NPI is 1992125892. 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:
2392 EDGEWOOD AVE N
JACKSONVILLE, FL
ZIP 32254-725
Phone: (904) 781-0600
The enumeration date for this NPI number is 4/18/2014 and was last updated on 3/26/2015.