Individual provider · Type 1 NPI

Leah Jo Wallace, LPC

Professional Counselor · Caruthersville, MO

NPI number 1235804121 Active

Practice location

915 Highway 84 W
Caruthersville, MO 63830-8113

Call (573) 333-5975 Map

Mailing address

935 State Route Vv
Kennett, MO 63857-3822

Other practice locations

  • 935 State Route Vv, Kennett, MO 63857-3822 · (573) 888-5925

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1235804121

Leah Jo Wallace, LPC's National Provider Identifier is 1235804121, issued on Aug 12, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Caruthersville, MO. The record was last updated on Oct 16, 2023.