person
Mr. Mike Thomas Wallace, LPC
Mental Health Counselor in Glendale, Arizona
NPI 1043446420

Mike Thomas Wallace is a Mental Health Counselor based in Glendale, AZ and is specialized in Mental Health. Mike Thomas Wallace practices in Glendale, AZ and has the professional credentials of LPC. The NPI Number for Mike Thomas Wallace is 1043446420 and holds a License No. 10676 (Arizona).

The current practice location address for Mike Thomas Wallace is 7075 W Bell Rd, Glendale, AZ and can be reached out via phone at 623-810-4959.

Location: 7075 W Bell Rd, Glendale, AZ, 85308-8546
person
Provider Profile Details
NPI Number
1043446420
Provider Name
Mike Thomas Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
7075 W Bell Rd, Glendale, AZ, 85308-8546
Phone Number
623-810-4959
Fax Number
Provider Enumeration Date
05/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7075 W Bell Rd
City
State
Zip
85308-8546
Phone Number
623-810-4959
Fax Number
person
Provider Business Mailing Address Details
Address
7075 W Bell Rd
City
State
Zip
85308-8546
Phone Number
623-810-4959
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
10676 (Arizona)
Definition
Definition to come...
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