Individual provider · Type 1 NPI

Tekisha Levonne Wallace

Professional Counselor · Salisbury, NC

NPI number 1013164490 Active

Practice location

1236 West Innes St
Salisbury, NC 28144-4064

Call (704) 633-3616 Map

Mailing address

284 Executive Park Dr, Suite 100
Concord, NC 28025-1831

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X8091 (NC)

Professional Counselor: Definition to come...

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About NPI 1013164490

Tekisha Levonne Wallace's National Provider Identifier is 1013164490, issued on Aug 27, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salisbury, NC. The record was last updated on Oct 7, 2010.