Leah Jo Wallace, LPC
NPI #1235804121 in Caruthersville, Missouri
Provider Information
- NPI Number
- 1235804121
- Entity Type
- Individual
- Name
- Leah Jo Wallace, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 12, 2021
- Last Updated
- Oct 16, 2023
Practice Location
- Address
- 915 HIGHWAY 84 W
- City
- Caruthersville
- State
- Missouri
- ZIP Code
- 63830-8113
- Phone
- (573) 333-5975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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