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Lauren Wallace

Counselor, Mental Health in New York, NY. Individual provider (NPI-1).

NPI number1124698261
StatusActive
Last updated in NPPESSep 3, 2025

Details

NPI
1124698261
Entity type
Individual (NPI-1)
Name
Lauren Wallace
Sex
Female
Sole proprietor
No
Enumeration date
Jun 30, 2021
Certification date
Sep 3, 2025
Last updated
Sep 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health013577NYYes

Practice location

352 7th Ave Rm 801
New York, NY 10001-5655

Phone 646-418-1172

Mailing address

352 7th Ave Rm 801
New York, NY 10001-5655

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