person
Mrs. Erin Melissa Wallace, BS/CADC
Addiction (Substance Use Disorder) Counselor in Mount Vernon, Illinois
NPI 1477063444

Erin Melissa Wallace is an Addiction (Substance Use Disorder) Counselor based in Mount Vernon, IL and is specialized in Addiction (Substance Use Disorder). Erin Melissa Wallace practices in Mount Vernon, IL and has the professional credentials of BS/CADC. The NPI Number for Erin Melissa Wallace is 1477063444 and holds a License No. (Illinois).

The current practice location address for Erin Melissa Wallace is 16338 N Il Highway 37, Mount Vernon, IL and can be reached out via phone at 618-242-5835 and via fax at 618-242-6392.

Location: 16338 N Il Highway 37, Mount Vernon, IL, 62864-8178
person
Provider Profile Details
NPI Number
1477063444
Provider Name
Erin Melissa Wallace
Credential
BS/CADC
Provider Entity Type
Individual
Gender
Female
Address
16338 N Il Highway 37, Mount Vernon, IL, 62864-8178
Phone Number
618-242-5835
Fax Number
618-242-6392
Provider Enumeration Date
10/04/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649404708 05 IL
institution
Provider Business Practice Location Address Details
Address
16338 N Il Highway 37
City
State
Zip
62864-8178
Phone Number
618-242-5835
Fax Number
618-242-6392
person
Provider Business Mailing Address Details
Address
16338 N Il Highway 37
City
State
Zip
62864-8178
Phone Number
618-242-5835
Fax Number
618-242-6392
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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