person
Mrs. Connie L. Wallace, MA,LPCC
Professional Counselor in Columbus, Ohio
NPI 1821181603

Connie L. Wallace is a Professional Counselor based in Columbus, OH and is specialized in Professional. Connie L. Wallace practices in Columbus, OH and has the professional credentials of MA,LPCC. The NPI Number for Connie L. Wallace is 1821181603 and holds a License No. E-0004373 (Ohio).

The current practice location address for Connie L. Wallace is 6435 E Broad St, Columbus, OH and can be reached out via phone at 614-355-8160 and via fax at 614-355-8180. You can also correspond with Connie L. Wallace through the mailing address at 700 CHILDRENS DR, COLUMBUS, OH - 43205-2664 (mailing address contact number: 614-722-2000).

Location: 6435 E Broad St, Columbus, OH, 43205-2664
person
Provider Profile Details
NPI Number
1821181603
Provider Name
Connie L. Wallace
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Female
Address
6435 E Broad St, Columbus, OH, 43205-2664
Phone Number
614-355-8160
Fax Number
614-355-8180
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1473276 05 OH
institution
Provider Business Practice Location Address Details
Address
6435 E Broad St
City
State
Zip
43213-1507
Phone Number
614-355-8160
Fax Number
614-355-8180
person
Provider Business Mailing Address Details
Address
6435 E Broad St
City
State
Zip
43213-1507
Phone Number
614-355-8160
Fax Number
614-355-8180
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E0004373 (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-0004373 (Ohio)
Definition
Definition to come...
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