Individual provider · Type 1 NPI

Loran Paige Wallace, LPC

Mental Health Counselor · Scottsdale, AZ

NPI number 1124743984 Active

Practice location

10613 N Hayden Rd Ste J-103
Scottsdale, AZ 85260-5683

Call (281) 714-5779 Map

Mailing address

7720 E Heatherbrae Ave Unit 23
Scottsdale, AZ 85251-4052

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-21109 (AZ)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1124743984

Loran Paige Wallace, LPC's National Provider Identifier is 1124743984, issued on Oct 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Scottsdale, AZ. The record was last updated on Oct 4, 2022.