Individual provider · Type 1 NPI

Deaven McGuire Wallace, MA, LPC

Professional Counselor · Lynchburg, VA

NPI number 1033378294 Active

Practice location

21731 Timberlake Rd
Lynchburg, VA 24502-7400

Call (434) 455-5033 Map

Fax (434) 455-5034

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701004377 (VA)

Professional Counselor: Definition to come...

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About NPI 1033378294

Deaven McGuire Wallace, MA, LPC's National Provider Identifier is 1033378294, issued on Jun 3, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lynchburg, VA. The record was last updated on Jun 3, 2008.