person
Ms. Deborah Faye Wallace, LCPCLICENSEDCLINIC
Professional Counselor in Carlinville, Illinois
NPI 1235999293

Deborah Faye Wallace is a Professional Counselor based in Carlinville, IL and is specialized in Professional. Deborah Faye Wallace practices in Carlinville, IL and has the professional credentials of LCPCLICENSEDCLINIC. The NPI Number for Deborah Faye Wallace is 1235999293 and holds a License No. 180.003816 (Illinois).

The current practice location address for Deborah Faye Wallace is 18772 Rt. 4, Carlinville, IL and can be reached out via phone at 217-854-2712.

Location: 18772 Rt. 4, Carlinville, IL, 62626
person
Provider Profile Details
NPI Number
1235999293
Provider Name
Deborah Faye Wallace
Credential
LCPCLICENSEDCLINIC
Provider Entity Type
Individual
Gender
Female
Address
18772 Rt. 4, Carlinville, IL, 62626
Phone Number
217-854-2712
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
18772 Rt. 4
City
State
Zip
62626
Phone Number
217-854-2712
Fax Number
person
Provider Business Mailing Address Details
Address
18772 Rt. 4
City
State
Zip
62626
Phone Number
217-854-2712
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.003816 (Illinois)
Definition
Definition to come...
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