Jennifer Dawn Wallace
LPCC/S | Professional Counselor
204 Bevins Ln Ste A, Georgetown
Kentucky, 40324-6145
859-951-9777 859-951-9779
Maps & DirectionsJennifer Dawn Wallace is a Georgetown, Kentucky based counselor who is specialized as Professional Counselor. Active license number of Jennifer Dawn Wallace is 104157 for Professional Counselor in . Her current practice location is 204 Bevins Ln Ste A, Georgetown. Patients can book an appointment with her at 859-951-9777.
Jennifer Dawn Wallace is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Jennifer Dawn Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jennifer Dawn Wallace |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Credentials: | LPCC/S |
| Accepts Medicare Assignment: | No |
| Practice Address: | 204 Bevins Ln Ste A, Georgetown,
Kentucky, 40324-6145 |
| Phone: | 859-951-9777 |
| Fax: | 859-951-9779 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174158976 |
| NPI Enumeration Date: | 12 Mar, 2020 |
| NPI Last Update On: | 20 Nov, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Dawn Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 104157 | Professional Counselor | | Primary | |
| 104157 | Counselor | Kentucky | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 204 Bevins Ln Ste A,
Georgetown, Kentucky |
| Zip: | 40324-6145 |
| Phone Number: | 859-951-9777 |
| Fax Number: | 859-951-9779 |
Patients can reach Jennifer Dawn Wallace at
204 Bevins Ln Ste A, Georgetown, Kentucky or can
call to book an appointment on 859-951-9777.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.