person
Mrs. Elaine Marie Wallace, LCPC
Professional Counselor in Glen Burnie, Maryland
NPI 1962084574

Elaine Marie Wallace is a Professional Counselor based in Glen Burnie, MD and is specialized in Professional. Elaine Marie Wallace practices in Glen Burnie, MD and has the professional credentials of LCPC. The NPI Number for Elaine Marie Wallace is 1962084574 and holds a License No. LC13561 (Maryland).

The current practice location address for Elaine Marie Wallace is 204 Somerset Bay Dr Apt 201, Glen Burnie, MD and can be reached out via phone at 410-903-8473.

Location: 204 Somerset Bay Dr Apt 201, Glen Burnie, MD, 21061-6476
person
Provider Profile Details
NPI Number
1962084574
Provider Name
Elaine Marie Wallace
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
204 Somerset Bay Dr Apt 201, Glen Burnie, MD, 21061-6476
Phone Number
410-903-8473
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
204 Somerset Bay Dr Apt 201
City
State
Zip
21061-6476
Phone Number
410-903-8473
Fax Number
person
Provider Business Mailing Address Details
Address
204 Somerset Bay Dr Apt 201
City
State
Zip
21061-6476
Phone Number
410-903-8473
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC13561 (Maryland)
Definition
Definition to come...
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