JILL WALLACE

WAUWATOSA, WI
NPI1871240978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
102X00000X Poetry Therapist
Enumeration Date2022-03-08
Last Update Date2022-03-08
Business Address
JILL WALLACE
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226-1306
Phone number: 414-933-9390
Mailing Address
JILL WALLACE
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226-1306
Phone number: 414-933-9390