person
Lacey L Wallace
Counselor in Charlotte, North Carolina
NPI 1669197638

Lacey L Wallace is a Counselor based in Charlotte, NC. Lacey L Wallace practices in Charlotte, NC. The NPI Number for Lacey L Wallace is 1669197638 and holds a License No. (North Carolina).

The current practice location address for Lacey L Wallace is 6926 Shannon Willow Rd Ste 400, Charlotte, NC and can be reached out via phone at 704-981-2190.

Location: 6926 Shannon Willow Rd Ste 400, Charlotte, NC, 28226-1335
person
Provider Profile Details
NPI Number
1669197638
Provider Name
Lacey L Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
6926 Shannon Willow Rd Ste 400, Charlotte, NC, 28226-1335
Phone Number
704-981-2190
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6926 Shannon Willow Rd Ste 400
City
State
Zip
28226-1335
Phone Number
704-981-2190
Fax Number
person
Provider Business Mailing Address Details
Address
6926 Shannon Willow Rd Ste 400
City
State
Zip
28226-1335
Phone Number
704-981-2190
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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