person
Mary Etheridge Wallace, LPC
Professional Counselor in Elizabeth City, North Carolina
NPI 1801136809

Mary Etheridge Wallace is a Professional Counselor based in Elizabeth City, NC and is specialized in Professional. Mary Etheridge Wallace practices in Elizabeth City, NC and has the professional credentials of LPC. The NPI Number for Mary Etheridge Wallace is 1801136809 and holds a License No. 0701005385 (North Carolina).

The current practice location address for Mary Etheridge Wallace is 303 E. Main Street Suite 9, Elizabeth City, NC and can be reached out via phone at 252-619-6629 and via fax at 252-331-2499.

Location: 303 E. Main Street Suite 9, Elizabeth City, NC, 27909-4452
person
Provider Profile Details
NPI Number
1801136809
Provider Name
Mary Etheridge Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
303 E. Main Street Suite 9, Elizabeth City, NC, 27909-4452
Phone Number
252-619-6629
Fax Number
252-331-2499
Provider Enumeration Date
02/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
303 E. Main Street Suite 9
City
State
Zip
27909
Phone Number
252-619-6629
Fax Number
252-331-2499
person
Provider Business Mailing Address Details
Address
303 E. Main Street Suite 9
City
State
Zip
27909
Phone Number
252-619-6629
Fax Number
252-331-2499
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701005385 (Virginia)
Definition
Definition to come...
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