MS. Alicia Angela Wallace, LCPC
NPI #1720370570 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1720370570
- Entity Type
- Individual
- Name
- MS. Alicia Angela Wallace, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- May 12, 2011
- Last Updated
- May 12, 2011
Practice Location
- Address
- 3718 MILFORD MILL RD
- City
- Windsor Mill
- State
- Maryland
- ZIP Code
- 21244-3718
- Phone
- (443) 801-8732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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