KRISTIN K WALLACE

MELBOURNE, FL
NPI1922303007
Former NameKRISTEN KIRBY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH7107)
Enumeration Date2011-01-20
Last Update Date2025-01-09
Business Address
KRISTIN K WALLACE LMHC
1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935-5385
Phone number: 772-361-1413
Mailing Address
KRISTIN K WALLACE LMHC
1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935-5385
Phone number: 772-361-1413
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