Marie C Wallace, LPCC

NPI #1609511278 in Carrollton, Kentucky

Provider Information

NPI Number: 1609511278
Entity Type: Individual
Name: Marie C Wallace, LPCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPCC
Enumeration Date: Apr 28, 2022
Last Updated: Apr 28, 2022

Practice Location

Address: 18 BRIAN ST
City: Carrollton
State: Kentucky
ZIP Code: 41008-8202
Phone: (150) 252-5853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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