Jill Wallace, M.ED,LCPC

NPI #1992029664 in Topsham, Maine

Provider Information

NPI Number
1992029664
Entity Type
Individual
Name
Jill Wallace, M.ED,LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
M.ED,LCPC
Enumeration Date
Mar 24, 2010
Last Updated
Mar 24, 2010

Practice Location

Address
56 ELM ST
State
Maine
ZIP Code
04086-1417
Phone
(207) 449-5729

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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