Jermaine Wallace
NPI #1003124025 in Rock Hill, South Carolina
Provider Information
- NPI Number
- 1003124025
- Entity Type
- Individual
- Name
- Jermaine Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 24, 2010
- Last Updated
- Sep 24, 2010
Practice Location
- Address
- 223 E MAIN ST
- Address 2
- SUITE 300
- City
- Rock Hill
- State
- South Carolina
- ZIP Code
- 29730-4571
- Phone
- (803) 328-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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