person
Stephen James Wallace, LPCC
Professional Counselor in Canton, Ohio
NPI 1023399052

Stephen James Wallace is a Professional Counselor based in Canton, OH and is specialized in Professional. Stephen James Wallace practices in Canton, OH and has the professional credentials of LPCC. The NPI Number for Stephen James Wallace is 1023399052 and holds a License No. E.1000187 (Ohio).

The current practice location address for Stephen James Wallace is 625 Cleveland Ave Nw, Canton, OH and can be reached out via phone at 330-453-8252 and via fax at 330-453-6716.

Location: 625 Cleveland Ave Nw, Canton, OH, 44702-1805
person
Provider Profile Details
NPI Number
1023399052
Provider Name
Stephen James Wallace
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
625 Cleveland Ave Nw, Canton, OH, 44702-1805
Phone Number
330-453-8252
Fax Number
330-453-6716
Provider Enumeration Date
09/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0168101 05 OH
institution
Provider Business Practice Location Address Details
Address
625 Cleveland Ave Nw
City
State
Zip
44702-1805
Phone Number
330-453-8252
Fax Number
330-453-6716
person
Provider Business Mailing Address Details
Address
625 Cleveland Ave Nw
City
State
Zip
44702-1805
Phone Number
330-453-8252
Fax Number
330-453-6716
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E.1000187 (Ohio)
Definition
Definition to come...
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