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

MRS. ELAINE MARIE WALLACE, LCPC

Active Sole Proprietor

MRS. ELAINE MARIE WALLACE, LCPC is a Professional Counselor healthcare provider located in GLEN BURNIE, Maryland. NPI 1962084574 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · GLEN BURNIE, MD

Registration Details

NPI Number
1962084574
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2021 (5.2984493253024 yrs)
Last Updated
Aug 29, 2023
License
LC13561 (MD)
Sole Proprietor
Yes

Practice Information

Address
204 SOMERSET BAY DR APT 201
GLEN BURNIE, MD, 210616476
Browse MD providers · Browse ZIP 21061
Phone
4109038473
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in GLEN BURNIE, MD

Name Credential NPI
MR. LYNN ANDREA TOMECK L.C.P.C. 1043334501
MS. HEATHER WHITNEY PRICE M.S., LCPC, LCADC 1154546273
SILVANA ROSSI L.C.P.C. 1699935841
KELLY ANNE THOMPSON LCPC 1811141088
ANA M JOHNSEN LCPC 1164752127
JENNIFER HAMERSKY LCPC 1447580402
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.