Marisa Wallace, LPC
NPI #1316417439 in Mentor, Ohio
Provider Information
- NPI Number
- 1316417439
- Entity Type
- Individual
- Name
- Marisa Wallace, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Dec 1, 2018
- Last Updated
- Feb 17, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Counselor - Professional — Professional |
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