MRS. Connie Lee Wallace, LPCC-S, CTT

NPI #1386668200 in Dover, Ohio

Provider Information

NPI Number
1386668200
Entity Type
Individual
Name
MRS. Connie Lee Wallace, LPCC-S, CTT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPCC-S, CTT
Enumeration Date
Jul 26, 2006
Last Updated
Feb 16, 2016

Practice Location

Address
547 1/2 S JAMES ST
Address 2
STE. A
City
Dover
State
Ohio
ZIP Code
44622-2137
Phone
(330) 343-7400

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Counselor - ProfessionalProfessional

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