person
Landon Wallace
Mental Health Counselor in Lexington, South Carolina
NPI 1174108682

Landon Wallace is a Mental Health Counselor based in Lexington, SC and is specialized in Mental Health. Landon Wallace practices in Lexington, SC. The NPI Number for Landon Wallace is 1174108682 and holds a License No. 8287 (South Carolina).

The current practice location address for Landon Wallace is 305 Palmetto Park Blvd, Lexington, SC and can be reached out via phone at 803-996-1500.

Location: 305 Palmetto Park Blvd, Lexington, SC, 29072-7968
person
Provider Profile Details
NPI Number
1174108682
Provider Name
Landon Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
305 Palmetto Park Blvd, Lexington, SC, 29072-7968
Phone Number
803-996-1500
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 Palmetto Park Blvd
City
State
Zip
29072-7872
Phone Number
803-996-1500
Fax Number
person
Provider Business Mailing Address Details
Address
305 Palmetto Park Blvd
City
State
Zip
29072-7872
Phone Number
803-996-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8287 (South Carolina)
Definition
Definition to come...
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