Mara Wallace, LPC
NPI #1508544883 in Elizabeth, Pennsylvania
Provider Information
- NPI Number
- 1508544883
- Entity Type
- Individual
- Name
- Mara Wallace, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jul 7, 2023
- Last Updated
- Jul 7, 2023
Practice Location
- Address
- 95 ENTERPRISE ST STE 104
- City
- Elizabeth
- State
- Pennsylvania
- ZIP Code
- 15037-2070
- Phone
- (412) 754-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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