person
Mrs. Connie Lee Wallace, LPCC-S,CTT
Professional Counselor in Dover, Ohio
NPI 1386668200

Connie Lee Wallace is a Professional Counselor based in New Philadelphia, OH and is specialized in Professional. Connie Lee Wallace practices in Dover, OH and has the professional credentials of LPCC-S,CTT. The NPI Number for Connie Lee Wallace is 1386668200 and holds a License No. E0001636-SUPV (Ohio).

The current practice location address for Connie Lee Wallace is 547 1/2 S James St, Dover, OH and can be reached out via phone at 330-343-7400 and via fax at 330-343-7414.

Location: 547 1/2 S James St, Dover, OH, 44663-0534
person
Provider Profile Details
NPI Number
1386668200
Provider Name
Connie Lee Wallace
Credential
LPCC-S,CTT
Provider Entity Type
Individual
Gender
Female
Address
547 1/2 S James St, Dover, OH, 44663-0534
Phone Number
330-343-7400
Fax Number
330-343-7414
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
741212 05 OH
institution
Provider Business Practice Location Address Details
Address
547 1/2 S James St
City
State
Zip
44622-2137
Phone Number
330-343-7400
Fax Number
330-343-7414
person
Provider Business Mailing Address Details
Address
547 1/2 S James St
City
State
Zip
44622-2137
Phone Number
330-343-7400
Fax Number
330-343-7414
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E0001636-SUPV (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E0001636-SUPV (Ohio)
Definition
Definition to come...
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