person
Meg Wallace, LPC
Professional Counselor in Herndon, Virginia
NPI 1245345750

Meg Wallace is a Professional Counselor based in Herndon, VA and is specialized in Professional. Meg Wallace practices in Herndon, VA and has the professional credentials of LPC. The NPI Number for Meg Wallace is 1245345750 and holds a License No. 1808 (Virginia).

The current practice location address for Meg Wallace is 297 Herndon Pkwy, Herndon, VA and can be reached out via phone at 703-435-4325 and via fax at 703-435-4325.

Location: 297 Herndon Pkwy, Herndon, VA, 20171-2446
person
Provider Profile Details
NPI Number
1245345750
Provider Name
Meg Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
297 Herndon Pkwy, Herndon, VA, 20171-2446
Phone Number
703-435-4325
Fax Number
703-435-4325
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0600001 01 VA CARE 1ST ID
200642 01 VA ANTHEM ID
institution
Provider Business Practice Location Address Details
Address
297 Herndon Pkwy
City
State
Zip
20170-4474
Phone Number
703-435-4325
Fax Number
703-435-4325
person
Provider Business Mailing Address Details
Address
297 Herndon Pkwy
City
State
Zip
20170-4474
Phone Number
703-435-4325
Fax Number
703-435-4325
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1808 (Virginia)
Definition
Definition to come...
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