Individual provider · Type 1 NPI

Amanda Wallace, LPCC-S

Mental Health Counselor · Akron, OH

NPI number 1154744563 Active

Practice location

1 Perkins Sq
Akron, OH 44308-1063

Call (330) 543-5015 Map

Fax (330) 543-3942

Mailing address

464 S Hawkins Ave
Akron, OH 44320-1228

Other practice locations

  • 464 S Hawkins Ave, Akron, OH 44320-1228 · (330) 434-2343
  • 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 · (513) 939-0300

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.1000654 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1154744563

Amanda Wallace, LPCC-S's National Provider Identifier is 1154744563, issued on Jan 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Akron, OH. The record was last updated on May 20, 2020.