Individual provider · Type 1 NPI
Maryanne Wally, LPC
Professional Counselor · Etna, PA
NPI number
1154042596
Active
Practice location
43 Grant Ave
Etna, PA 15223-1841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC014602 (PA) |
Professional Counselor: Definition to come...
About NPI 1154042596
Maryanne Wally, LPC's National Provider Identifier is 1154042596, issued on Sep 5, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Etna, PA. The record was last updated on Sep 5, 2022.