person
David C. Wallace
Professional Counselor in Columbus, Georgia
NPI 1952604183

David C. Wallace is a Professional Counselor based in Columbus, GA and is specialized in Professional. David C. Wallace practices in Columbus, GA. The NPI Number for David C. Wallace is 1952604183 and holds a License No. LPC004754 (Georgia).

The current practice location address for David C. Wallace is 2100 Comer Ave, Columbus, GA and can be reached out via phone at 706-323-0174 and via fax at 706-256-3264.

Location: 2100 Comer Ave, Columbus, GA, 31904-9093
person
Provider Profile Details
NPI Number
1952604183
Provider Name
David C. Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
2100 Comer Ave, Columbus, GA, 31904-9093
Phone Number
706-323-0174
Fax Number
706-256-3264
Provider Enumeration Date
12/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2100 Comer Ave
City
State
Zip
31904-8725
Phone Number
706-323-0174
Fax Number
706-256-3264
person
Provider Business Mailing Address Details
Address
2100 Comer Ave
City
State
Zip
31904-8725
Phone Number
706-323-0174
Fax Number
706-256-3264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC004754 (Georgia)
Definition
Definition to come...
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