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Sydney L Wallace, LAC
Counselor in Phoenix, Arizona
NPI 1154010551

Sydney L Wallace is a Counselor based in Phoenix, AZ. Sydney L Wallace practices in Phoenix, AZ and has the professional credentials of LAC. The NPI Number for Sydney L Wallace is 1154010551 and holds a License No. LAC-20532 (Arizona).

The current practice location address for Sydney L Wallace is 3330 N 2Nd St Ste 601, Phoenix, AZ and can be reached out via phone at 602-230-7373 and via fax at 602-230-5105.

Location: 3330 N 2Nd St Ste 601, Phoenix, AZ, 85012-2639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154010551
Provider Name
Sydney L Wallace
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
3330 N 2Nd St Ste 601, Phoenix, AZ, 85012-2639
Phone Number
602-230-7373
Fax Number
602-230-5105
Provider Enumeration Date
05/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3330 N 2Nd St Ste 601
City
Phoenix
State
Arizona
Zip
85012-2395
Phone Number
602-230-7373
Fax Number
602-230-5105
person
Provider Business Mailing Address Details
Address
3330 N 2Nd St Ste 601
City
Phoenix
State
Arizona
Zip
85012-2395
Phone Number
602-230-7373
Fax Number
602-230-5105
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LAC-20532 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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