SAMALA WALLACK

SAINT LOUIS, MO
NPI1073995866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2015008989)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: FL  MH27069)
Enumeration Date2015-06-29
Last Update Date2026-06-23
Business Address
SAMALA WALLACK LPC
111 W PORT PLZ
SAINT LOUIS, MO 63146-3011
Phone number: 816-404-5700
Mailing Address
SAMALA WALLACK LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131