Individual provider · Type 1 NPI
Shannon Manz-Wallace, LPC
Professional Counselor · Ellwood City, PA
NPI number
1629662408
Active
Practice location
527 Hazel Ave
Ellwood City, PA 16117-1010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC012624 (PA) |
Professional Counselor: Definition to come...
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About NPI 1629662408
Shannon Manz-Wallace, LPC's National Provider Identifier is 1629662408, issued on Feb 23, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ellwood City, PA. The record was last updated on Feb 23, 2021.