Individual provider · Type 1 NPI

Stephen James Wallace, LPCC

Professional Counselor · Canton, OH

NPI number 1023399052 Active

Practice location

625 Cleveland Ave NW
Canton, OH 44702-1805

Fax (330) 453-6716

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.1000187 (OH)

Professional Counselor: Definition to come...

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About NPI 1023399052

Stephen James Wallace, LPCC's National Provider Identifier is 1023399052, issued on Sep 3, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Canton, OH. The record was last updated on Mar 2, 2017.