Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARA WALLACE, LPC
ActiveMARA WALLACE, LPC is a Professional Counselor healthcare provider located in ELIZABETH, Pennsylvania. NPI 1508544883 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ELIZABETH, PA
Registration Details
- NPI Number
- 1508544883
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2023 (2.9257400767546 yrs)
- Last Updated
- Jul 7, 2023
- License
-
PC015793 (PA)
Practice Information
- Address
-
95 ENTERPRISE ST STE 104ELIZABETH, PA, 150372070Browse PA providers · Browse ZIP 15037
- Phone
- 4127541100
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in ELIZABETH, PA
| Name | Credential | NPI |
|---|---|---|
| CASSANDRA SANDERSON | MS, LPC, NCC, CCTP | 1013416171 |
| MR. SHAUN DALE MEWES | LMHP | 1427537133 |
| JILLIAN RUDA | M.ED., LPC, NCC | 1184353294 |
| MICHELLE RENEE DVORCHAK | LPC | 1972220135 |
| ELIZABETH ANN POLOVINA | — | 1427813450 |
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.