Rebecca Kay Wallace, LPC
Counselor, Professional in Wentzville, MO. Individual provider (NPI-1).
NPI number1033765896
StatusActive
Last updated in NPPESMay 7, 2021
Details
- NPI
- 1033765896
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Kay Wallace
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2019
- Certification date
- May 7, 2021
- Last updated
- May 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2019004134 | MO | Yes |
Other names
- Rebecca Kay Holtmann (Former Name)
Practice location
1032 Crosswinds CtWentzville, MO 63385-4836
Phone 888-403-1071
Mailing address
1800 CommunityClinton, MO 64735-8804
Phone 660-885-8131
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