Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA MARIE WALLIS, LPC, CPCS
ActiveTINA MARIE WALLIS, LPC, CPCS is a Professional Counselor healthcare provider located in DAWSONVILLE, Georgia. NPI 1063783462 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · DAWSONVILLE, GA
Registration Details
- NPI Number
- 1063783462
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2012 (14.555034073933 yrs)
- Last Updated
- Dec 17, 2015
- License
-
006897 (GA)
Practice Information
- Address
-
12 WATERFRONT PARK CTDAWSONVILLE, GA, 305345772Browse GA providers · Browse ZIP 30534
- Phone
- 7064909204
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in DAWSONVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER M HOSEA | M.ED., LPC, RPT-S | 1760548986 |
| MR. WILLIAM STUART RILEY SR. | LPC | 1275744922 |
| DR. AMANDA BROOKE SLAUGHTER | ED.D., LPC, RPT | 1346447802 |
| JAMES MICHAEL FOWLER | MS, LPC, NCC, BCPCC | 1467625616 |
| MRS. MICHELLE ANNE MATTHEWS | LPC | 1720241870 |
| MS. CANDACE L. WHEELER | M.S., LPC | 1003053232 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.