person
Mr. Barry Ray Wallace JR.
Mental Health Counselor in Raleigh, North Carolina
NPI 1841858875

Barry Ray Wallace JR. is a Mental Health Counselor based in Raleigh, NC and is specialized in Mental Health. Barry Ray Wallace JR. practices in Raleigh, NC. The NPI Number for Barry Ray Wallace JR. is 1841858875 and holds a License No. 25403 (North Carolina).

The current practice location address for Barry Ray Wallace JR. is 2101 Garner Rd #107, Raleigh, NC and can be reached out via phone at 919-787-6131.

Location: 2101 Garner Rd #107, Raleigh, NC, 27606-3790
person
Provider Profile Details
NPI Number
1841858875
Provider Name
Barry Ray Wallace JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2101 Garner Rd #107, Raleigh, NC, 27606-3790
Phone Number
919-787-6131
Fax Number
Provider Enumeration Date
06/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 Garner Rd #107
City
State
Zip
27610-3790
Phone Number
919-787-6131
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Garner Rd #107
City
State
Zip
27610-3790
Phone Number
919-787-6131
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A15095 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
25403 (North Carolina)
Definition
Definition to come...
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