IndividualActive
Ann Wallace
NPI 1083915656 · Professional Counselor · Columbus, MS
Provider details
- NPI number
- 1083915656
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1398 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
455 Dickerson Ln
Columbus, MS 39705-1648
Phone: (662) 327-1575
Approximate (ZIP-level) locationGet directions
Mailing address
455 Dickerson Ln
Columbus, MS 39705-1648
Registry dates
- Enumerated
- 2010-11-12
- Last updated
- 2010-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.