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Mary Wallace, MS,LPC-A
Mental Health Counselor in Helotes, Texas
NPI 1255116893

Mary Wallace is a Mental Health Counselor based in San Antonio, TX and is specialized in Mental Health. Mary Wallace practices in Helotes, TX and has the professional credentials of MS,LPC-A. The NPI Number for Mary Wallace is 1255116893 and holds a License No. 91155 (Texas).

The current practice location address for Mary Wallace is 12274 Bandera Rd Ste 101, Helotes, TX and can be reached out via phone at 210-396-7609.

Location: 12274 Bandera Rd Ste 101, Helotes, TX, 78249-2646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255116893
Provider Name
Mary Wallace
Credential
MS,LPC-A
Provider Entity Type
Individual
Gender
Female
Address
12274 Bandera Rd Ste 101, Helotes, TX, 78249-2646
Phone Number
210-396-7609
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12274 Bandera Rd Ste 101
City
Helotes
State
Texas
Zip
78023-4386
Phone Number
210-396-7609
Fax Number
person
Provider Business Mailing Address Details
Address
12274 Bandera Rd Ste 101
City
Helotes
State
Texas
Zip
78023-4386
Phone Number
210-396-7609
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
91155 (Texas)
Definition
Definition to come...
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