Dana Wallace, LPC
NPI #1255059382 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1255059382
- Entity Type
- Individual
- Name
- Dana Wallace, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 15 NORTON HTS
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-1644
- Phone
- (203) 525-9842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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