person
Lisa Anne Wallace, MA,LPC,NCC,CCNHC
Mental Health Counselor in Lexington, South Carolina
NPI 1710521968

Lisa Anne Wallace is a Mental Health Counselor based in Lexington, SC and is specialized in Mental Health. Lisa Anne Wallace practices in Lexington, SC and has the professional credentials of MA,LPC,NCC,CCNHC. The NPI Number for Lisa Anne Wallace is 1710521968 and holds a License No. 7291 (South Carolina).

The current practice location address for Lisa Anne Wallace is 418 Barr Rd, Lexington, SC and can be reached out via phone at 803-707-4945.

Location: 418 Barr Rd, Lexington, SC, 29072-7877
person
Provider Profile Details
NPI Number
1710521968
Provider Name
Lisa Anne Wallace
Credential
MA,LPC,NCC,CCNHC
Provider Entity Type
Individual
Gender
Female
Address
418 Barr Rd, Lexington, SC, 29072-7877
Phone Number
803-707-4945
Fax Number
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
418 Barr Rd
City
State
Zip
29072-2363
Phone Number
803-707-4945
Fax Number
person
Provider Business Mailing Address Details
Address
418 Barr Rd
City
State
Zip
29072-2363
Phone Number
803-707-4945
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7291 (South Carolina)
Definition
Definition to come...
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