person
Formecia Wallace, MS,MA,LCAS-A
Addiction (Substance Use Disorder) Counselor in Williamston, North Carolina
NPI 1518423045

Formecia Wallace is an Addiction (Substance Use Disorder) Counselor based in Williamston, NC and is specialized in Addiction (Substance Use Disorder). Formecia Wallace practices in Williamston, NC and has the professional credentials of MS,MA,LCAS-A. The NPI Number for Formecia Wallace is 1518423045 and holds a License No. 25169 (North Carolina).

The current practice location address for Formecia Wallace is 618 E Boulevard, Williamston, NC and can be reached out via phone at 252-792-0659 and via fax at 252-792-0660.

Location: 618 E Boulevard, Williamston, NC, 27892-8844
person
Provider Profile Details
NPI Number
1518423045
Provider Name
Formecia Wallace
Credential
MS,MA,LCAS-A
Provider Entity Type
Individual
Gender
Female
Address
618 E Boulevard, Williamston, NC, 27892-8844
Phone Number
252-792-0659
Fax Number
252-792-0660
Provider Enumeration Date
02/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
618 E Boulevard
City
State
Zip
27892-2736
Phone Number
252-792-0659
Fax Number
252-792-0660
person
Provider Business Mailing Address Details
Address
618 E Boulevard
City
State
Zip
27892-2736
Phone Number
252-792-0659
Fax Number
252-792-0660
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
25169 (North Carolina)
Definition
Definition to come...
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