Individual provider · Type 1 NPI
Marguerite Therese Wallace, MSEA, LPCC-S
Mental Health Counselor · Dayton, OH
NPI number
1659566164
Active
Practice location
2621 Dryden Rd. The Flexman Myers Clinic, Suite 202
Dayton, OH 45439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 2893 (OH) |
| Mental Health Counselor Primary | 101YM0800X | 0002893 (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1659566164
Marguerite Therese Wallace, MSEA, LPCC-S's National Provider Identifier is 1659566164, issued on Sep 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Sep 30, 2021.