| Mrs Diane Tamara Wallace, LAC | |
|
1830 Manor Dr, Union, NJ 07083-4617 | |
| (973) 978-2858 | |
| Not Available |
| Full Name | Mrs Diane Tamara Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1830 Manor Dr, Union, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912729500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37AC00711600 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diane Tamara Wallace, LAC 1830 Manor Dr, Union, NJ 07083-4617 Ph: (973) 978-2858 | Mrs Diane Tamara Wallace, LAC 1830 Manor Dr, Union, NJ 07083-4617 Ph: (973) 978-2858 |
Amanda L. Kent, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Chestnut St, Union, NJ 07083 Phone: 908-854-4651 | |
Ashley Rose Kondracki, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2191 Morris Ave, Union, NJ 07083 Phone: 908-377-9942 | |
Talia Eason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Morris Ave Ste 308, Union, NJ 07083 Phone: 908-322-9623 | |
Gold Oleka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 936 Stuyvesant Ave, Union, NJ 07083 Phone: 908-875-9236 | |
Joanna Brevan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2780 Morris Ave, Union, NJ 07083 Phone: 609-651-4001 | |
Krista Marie Johnson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Progress St, Union, NJ 07083 Phone: 908-687-7188 | |
Cindy Elaine Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Morris Ave # Suitei-4, Union, NJ 07083 Phone: 973-433-6051 |