MRS. Myriah Dawn Wallace, LPC
NPI #1184921496 in West Plains, Missouri
Provider Information
- NPI Number
- 1184921496
- Entity Type
- Individual
- Name
- MRS. Myriah Dawn Wallace, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Feb 23, 2011
- Last Updated
- Apr 14, 2020
Practice Location
- Address
- 1211 PORTER WAGONER BLVD
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-1826
- Phone
- (417) 257-6762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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