Individual provider · Type 1 NPI

Lisa Buckner Wallace, LCMHCA

Mental Health Counselor · Hickory, NC

NPI number 1598225930 Active

Practice location

3750 N Center St
Hickory, NC 28601-8089

Call (828) 327-3491 Map

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA13854 (NC)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1598225930

Lisa Buckner Wallace, LCMHCA's National Provider Identifier is 1598225930, issued on Mar 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hickory, NC. The record was last updated on Aug 11, 2020.