MRS. CONNIE WALLACE, LPCC-S, CTT
Counselor - Mental Health
Active
Individual
NPI: 1386668200
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | E0001636-SUPV (OH) |
| Counselor - Professional | 101YP2500X | No | E0001636-SUPV (OH) |
Frequently Asked Questions
NPI 1386668200 is the National Provider Identifier for MRS. CONNIE WALLACE, LPCC-S, CTT, a Counselor - Mental Health provider located in Dover, OH. This NPI was enumerated on July 26, 2006.
MRS. CONNIE WALLACE, LPCC-S, CTT practices at 547 1/2 S JAMES ST, STE. A, Dover, OH 44622.
Quick Facts
- NPI
- 1386668200
- Type
- Individual
- Enumerated
- Jul 26, 2006
- Last Updated
- Feb 16, 2016
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