Wallace, Krystal Jacquelyn

Wallace, Krystal Jacquelyn is an sole proprietor health care provider with primary practice located at 618 E Market St , New Albany IN 47150-2914. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Wallace, Krystal Jacquelyn can be contacted via phone (502) 579-1278.

Contact Information

Primary practice address
618 E Market St New Albany IN 47150-2914
Phone: (502) 579-1278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1295438893
LBN Legal business name Wallace, Krystal Jacquelyn
Credentials MS MA BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2023
Last updated Mar 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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