person
Mara Wallace, LPC
Professional Counselor in Elizabeth, Pennsylvania
NPI 1508544883

Mara Wallace is a Professional Counselor based in Elizabeth, PA and is specialized in Professional. Mara Wallace practices in Elizabeth, PA and has the professional credentials of LPC. The NPI Number for Mara Wallace is 1508544883 and holds a License No. PC015793 (Pennsylvania).

The current practice location address for Mara Wallace is 95 Enterprise St Ste 104, Elizabeth, PA and can be reached out via phone at 412-754-1100.

Location: 95 Enterprise St Ste 104, Elizabeth, PA, 15037-2070
person
Provider Profile Details
NPI Number
1508544883
Provider Name
Mara Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
95 Enterprise St Ste 104, Elizabeth, PA, 15037-2070
Phone Number
412-754-1100
Fax Number
Provider Enumeration Date
07/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
95 Enterprise St Ste 104
City
State
Zip
15037-2070
Phone Number
412-754-1100
Fax Number
person
Provider Business Mailing Address Details
Address
95 Enterprise St Ste 104
City
State
Zip
15037-2070
Phone Number
412-754-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC015793 (Pennsylvania)
Definition
Definition to come...
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