Individual provider · Type 1 NPI

Devyn Wallace

Counselor · Dayton, OH

NPI number 1134467897 Active

Practice location

2745 S Smithville Rd
Dayton, OH 45420-2668

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC.1200675-TRNE (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1134467897

Devyn Wallace's National Provider Identifier is 1134467897, issued on Jan 30, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dayton, OH. The record was last updated on Feb 4, 2013.