person
Debra J Wallace, PCC-S,LICDC
Addiction (Substance Use Disorder) Counselor in Alliance, Ohio
NPI 1619271228

Debra J Wallace is an Addiction (Substance Use Disorder) Counselor based in Canton, OH and is specialized in Addiction (Substance Use Disorder). Debra J Wallace practices in Alliance, OH and has the professional credentials of PCC-S,LICDC. The NPI Number for Debra J Wallace is 1619271228 and holds a License No. E.0900224-SUPV (Ohio).

The current practice location address for Debra J Wallace is 1207 W State St, Alliance, OH and can be reached out via phone at 330-821-3846 and via fax at 330-821-5172. You can also correspond with Debra J Wallace through the mailing address at 625 CLEVELAND AVE NW, CANTON, OH - 44702-1805 (mailing address contact number: 330-453-8252).

Location: 1207 W State St, Alliance, OH, 44702-1805
person
Provider Profile Details
NPI Number
1619271228
Provider Name
Debra J Wallace
Credential
PCC-S,LICDC
Provider Entity Type
Individual
Gender
Female
Address
1207 W State St, Alliance, OH, 44702-1805
Phone Number
330-821-3846
Fax Number
330-821-5172
Provider Enumeration Date
12/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0182777 05 OH
institution
Provider Business Practice Location Address Details
Address
1207 W State St
City
State
Zip
44601-4686
Phone Number
330-821-3846
Fax Number
330-821-5172
person
Provider Business Mailing Address Details
Address
1207 W State St
City
State
Zip
44601-4686
Phone Number
330-821-3846
Fax Number
330-821-5172
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LICDC.151044-CS (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E.0900224-SUPV (Ohio)
Definition
Definition to come...
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