Individual provider · Type 1 NPI

Sydney L. Wallace, LAC

Counselor · Phoenix, AZ

NPI number 1154010551 Active

Practice location

3330 N 2nd St Ste 601
Phoenix, AZ 85012-2395

Call (602) 230-7373 Map

Fax (602) 230-5105

Mailing address

3101 N Central Ave Ste 500
Phoenix, AZ 85012-2639

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC-20532 (AZ)

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 1154010551

Sydney L. Wallace, LAC's National Provider Identifier is 1154010551, issued on May 2, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 2, 2023.