Individual provider · Type 1 NPI

Debora Wallace-Wood, LPCC-S

Professional Counselor · Whitehall, OH

NPI number 1104371319 Active

Practice location

3768 E Main St
Whitehall, OH 43213-2925

Call (833) 510-4357 Map

Fax (866) 460-2997

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice locations

  • 1430 S High St, Columbus, OH 43207-1045 · (614) 324-5479

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.161706 (OH)
Professional Counselor Primary 101YP2500XE.1800574-SUPV (OH)

Professional Counselor: Definition to come...

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About NPI 1104371319

Debora Wallace-Wood, LPCC-S's National Provider Identifier is 1104371319, issued on Aug 17, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Whitehall, OH. The record was last updated on Sep 25, 2026.