Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA WALLACE, LPC
ActiveMARISA WALLACE, LPC is a Professional Counselor healthcare provider located in MENTOR, Ohio. NPI 1316417439 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MENTOR, OH
Registration Details
- NPI Number
- 1316417439
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2018 (7.6570738284111 yrs)
- Last Updated
- Feb 17, 2022
- License
-
C.190690 (OH)
Practice Information
- Address
-
7232 JUSTIN WAYMENTOR, OH, 440604881Browse OH providers · Browse ZIP 44060
- Phone
- 4405788200
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in MENTOR, OH
| Name | Credential | NPI |
|---|---|---|
| MS. TERESE ANN NOTTE | LSW, LPCC-S | 1669507075 |
| MS. LISA ANN KOSTANSEK | PCC-S, LCDC III | 1265569479 |
| MS. NICHOL M STASKO | PC | 1497885065 |
| MRS. TRACI ELIZABETH CONKLING | LPCC | 1447380407 |
| SUSAN C VESELY | LPCC | 1639200090 |
| CHRISTINE M OLENIACZ | MA, LPCC | 1265557284 |
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.