John H Wallace, LPCC

NPI #1821272550 in Mason, Ohio

Provider Information

NPI Number: 1821272550
Entity Type: Individual
Name: John H Wallace, LPCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPCC
Enumeration Date: Dec 17, 2007
Last Updated: Dec 17, 2007

Practice Location

Address: 5134 CEDAR VILLAGE DR
City: Mason
State: Ohio
ZIP Code: 45040-3717
Phone: (513) 229-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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