Debra J Wallace, PCC-S, LICDC
NPI #1619271228 in Alliance, Ohio
Provider Information
- NPI Number
- 1619271228
- Entity Type
- Individual
- Name
- Debra J Wallace, PCC-S, LICDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- PCC-S, LICDC
- Enumeration Date
- Dec 23, 2010
- Last Updated
- Mar 1, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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