person
Donya Demesha Wallace, LPC
Professional Counselor in Kingstree, South Carolina
NPI 1558384164

Donya Demesha Wallace is a Professional Counselor based in Florence, SC and is specialized in Professional. Donya Demesha Wallace practices in Kingstree, SC and has the professional credentials of LPC. The NPI Number for Donya Demesha Wallace is 1558384164 and holds a License No. 4697 (South Carolina).

The current practice location address for Donya Demesha Wallace is 201 Short St, Kingstree, SC and can be reached out via phone at 842-354-7324 and via fax at 843-354-6461.

Location: 201 Short St, Kingstree, SC, 29501-8599
person
Provider Profile Details
NPI Number
1558384164
Provider Name
Donya Demesha Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
201 Short St, Kingstree, SC, 29501-8599
Phone Number
842-354-7324
Fax Number
843-354-6461
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WP8972 05 SC
institution
Provider Business Practice Location Address Details
Address
201 Short St
City
State
Zip
29556-3926
Phone Number
842-354-7324
Fax Number
843-354-6461
person
Provider Business Mailing Address Details
Address
201 Short St
City
State
Zip
29556-3926
Phone Number
842-354-7324
Fax Number
843-354-6461
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4697 (South Carolina)
Definition
Definition to come...
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