person
Marie C Wallace, LPCC
Mental Health Counselor in Carrollton, Kentucky
NPI 1609511278

Marie C Wallace is a Mental Health Counselor based in Louisville, KY and is specialized in Mental Health. Marie C Wallace practices in Carrollton, KY and has the professional credentials of LPCC. The NPI Number for Marie C Wallace is 1609511278 and holds a License No. 277200 (Kentucky).

The current practice location address for Marie C Wallace is 18 Brian St, Carrollton, KY and can be reached out via phone at 150-252-5853.

Location: 18 Brian St, Carrollton, KY, 40218-4271
person
Provider Profile Details
NPI Number
1609511278
Provider Name
Marie C Wallace
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
18 Brian St, Carrollton, KY, 40218-4271
Phone Number
150-252-5853
Fax Number
Provider Enumeration Date
04/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18 Brian St
City
State
Zip
41008-8202
Phone Number
150-252-5853
Fax Number
person
Provider Business Mailing Address Details
Address
18 Brian St
City
State
Zip
41008-8202
Phone Number
150-252-5853
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
277200 (Kentucky)
Definition
Definition to come...
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