Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DEBORAH FAYE WALLACE, LCPC LICENSED CLINIC

Active

MS. DEBORAH FAYE WALLACE, LCPC LICENSED CLINIC is a Professional Counselor healthcare provider located in CARLINVILLE, Illinois. NPI 1235999293 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CARLINVILLE, IL

Registration Details

NPI Number: 1235999293
Provider Type: Individual
Gender: Female
NPI Issued: Mar 19, 2024 (2.3939851569934 yrs)
Last Updated: Mar 19, 2024
License: 180.003816 (IL)

Practice Information

Address: 18772 RT. 4

CARLINVILLE, IL, 62626
Browse IL providers · Browse ZIP 62626
Phone: 2178542712
Primary Specialty: Professional Counselor
101YP2500X

Other Professional Counselor Providers in CARLINVILLE, IL

Name	Credential	NPI
THOMAS L FRYDENGER	MA, LCPC	1285644690
MR. WILLIAM ANDERSON	MA LCPC	1174695290
MR. JOSEPH P KRAVANYA	BS LPC	1972675098
MRS. BRENDA I BEANBLOSSOM	MA LCPC	1669674214
SHERRY LYNN KALICAK	MA LCPC	1043482748
ELAINE MARSHA MILLER	—	1922366335

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.