Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CONNIE LEE WALLACE, LPCC-S, CTT
Active Sole ProprietorMRS. CONNIE LEE WALLACE, LPCC-S, CTT is a Mental Health Counselor healthcare provider located in DOVER, Ohio. NPI 1386668200 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · DOVER, OH
Registration Details
- NPI Number
- 1386668200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2006 (20.02746896059 yrs)
- Last Updated
- Feb 16, 2016
- Licenses
-
E0001636-SUPV (OH)E0001636-SUPV (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
547 1/2 S JAMES STSTE. ADOVER, OH, 446222137Browse OH providers · Browse ZIP 44622
- Phone
- 3303437400
- Fax
- 3303437414
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Professional Counselor
Other Mental Health Counselor Providers in DOVER, OH
| Name | Credential | NPI |
|---|---|---|
| MR. ANTHONY JOSEPH INCARNATO SR. | M.A. | 1538220280 |
| MISS ANDREA LYNN DOMINICK | LPCC-S, LICDC | 1235266743 |
| MARK A PLOTTS | LPC | 1720294150 |
| LORRY A GUTHRIE | LPCC | 1669688099 |
| CAMILLE A LINDON | LPC | 1699981043 |
| CHRISTINE MARIE SCHOENBERG | LPCC | 1699981050 |
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.