NPI 1003622937

Madison Wallace, MHP

Practitioner Mental Health Counselor Dixon, IL

Practice location

Address: 325 Illinois Rt 2, Dixon, IL 61021-9118
Phone: (815) 284-6611

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Illinois →

Registry record

NPI: 1003622937
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2024
Record last updated: 5 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.