Individual provider · Type 1 NPI

Landon Wallace

Mental Health Counselor · Lexington, SC

NPI number 1174108682 Active

Practice location

305 Palmetto Park Blvd
Lexington, SC 29072-7872

Call (803) 996-1500 Map

Mailing address

108 Palmetto Park Blvd
Lexington, SC 29072-7968

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8287 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1174108682

Landon Wallace's National Provider Identifier is 1174108682, issued on Mar 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, SC. The record was last updated on Sep 20, 2023.