Individual provider · Type 1 NPI

Lisa Anne Wallace, MA, LPC, NCC, CCNHC

Mental Health Counselor · Lexington, SC

NPI number 1710521968 Active

Practice location

418 Barr Rd
Lexington, SC 29072-2363

Call (803) 707-4945 Map

Mailing address

300 Palmetto Park Blvd Apt 216
Lexington, SC 29072-7877

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7291 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1710521968

Lisa Anne Wallace, MA, LPC, NCC, CCNHC's National Provider Identifier is 1710521968, issued on Oct 31, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, SC. The record was last updated on Oct 31, 2019.