Individual provider · Type 1 NPI
Debra Wallace, LMFT
Marriage & Family Therapist · Island Lake, IL
Practice location
27979 N Converse Rd
Island Lake, IL 60042-8103
Mailing address
39469 N Shore Dr
Spring Grove, IL 60081-9170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 166000901 (IL) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
2 other providers at this address
About NPI 1598005019
Debra Wallace, LMFT's National Provider Identifier is 1598005019, issued on Feb 20, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Island Lake, IL. The record was last updated on Feb 20, 2013.