Maynell Wallace, LPCC
NPI #1912426990 in West Union, Ohio
Provider Information
- NPI Number
- 1912426990
- Entity Type
- Individual
- Name
- Maynell Wallace, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- LPCC
- Enumeration Date
- Sep 12, 2017
- Last Updated
- Aug 26, 2019
Practice Location
- Address
- 3964 WHEAT RIDGE RD
- City
- West Union
- State
- Ohio
- ZIP Code
- 45693
- Phone
- (937) 544-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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