Jennifer Dawn Wallace , LPCC, S
Counselor - Professional • Georgetown, KY
Professional Overview & Biography Verified Profile Summary
Jennifer Wallace, LPCC, S is a registered healthcare professional specializing in Counselor - Professional in Georgetown, KY. Practice services are available at 204 BEVINS LN STE A under active NPI credentials.
Practice Location & Contact Primary Location
204 Bevins Ln Ste A
Georgetown, KY 403246145
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Georgetown, KY
Practicing in Georgetown, KY (2199 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-11-20NUCC Taxonomy Code: 101YP2500X
Definition to come...
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Practice Locations
200 Bevins Ln Ste E
Georgetown, KY 403248532
Phone: 8599519777
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Professional
Licensed Professional Clinical Counselor
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker
Licensed Clinical Social Worker
Counselor - Mental Health
Licensed Professional Clinical Counselor
Counselor - Mental Health
Licensed Professional Clinical Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 204 BEVINS LN STE A, GEORGETOWN, KY 403246145 (Tel: 8599519777)
Counselor (License #104157 in KY)
Registered at 204 BEVINS LN STE A, GEORGETOWN, KY 403246145 (Tel: 8599519777)
Recorded as JENNIFER WALLACE, LPCC/S
Counselor (License #104157 in None)
NPI status registered as active in NPPES database
Registered at 200 BEVINS LN STE E, GEORGETOWN, KY 403248532 (Tel: 8599519777)
Registered at 229 COLONY BLVD, GEORGETOWN, KY 403242507 (Tel: 5028671855)
Recorded as JENNIFER WALLACE, LPCC-S
Counselor (License #104157 in KY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
204 Bevins Ln Ste A
Georgetown, KY 403246145
Phone: 8599519777
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