Robert Lee Wallace, LPC

NPI #1154582773 in Rockingham, North Carolina

Provider Information

NPI Number: 1154582773
Entity Type: Individual
Name: Robert Lee Wallace, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jun 17, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 110 S HANCOCK ST
City: Rockingham
State: North Carolina
ZIP Code: 28379-3675
Phone: (910) 997-9240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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