person
Leah Jo Wallace, LPC
Professional Counselor in Caruthersville, Missouri
NPI 1235804121

Leah Jo Wallace is a Professional Counselor based in Kennett, MO and is specialized in Professional. Leah Jo Wallace practices in Caruthersville, MO and has the professional credentials of LPC. The NPI Number for Leah Jo Wallace is 1235804121 and holds a License No. (Missouri).

The current practice location address for Leah Jo Wallace is 915 Highway 84 W, Caruthersville, MO and can be reached out via phone at 573-333-5975.

Location: 915 Highway 84 W, Caruthersville, MO, 63857-3822
person
Provider Profile Details
NPI Number
1235804121
Provider Name
Leah Jo Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
915 Highway 84 W, Caruthersville, MO, 63857-3822
Phone Number
573-333-5975
Fax Number
Provider Enumeration Date
08/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
915 Highway 84 W
City
State
Zip
63830-8113
Phone Number
573-333-5975
Fax Number
person
Provider Business Mailing Address Details
Address
915 Highway 84 W
City
State
Zip
63830-8113
Phone Number
573-333-5975
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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