Individual provider · Type 1 NPI

Wallace Dasher Iii, MS

Mental Health Counselor · Orlando, FL

NPI number 1770075228 Active

Practice location

1703 W Colonial Dr
Orlando, FL 32804-7000

Call (321) 332-8211 Map

Fax (248) 769-6154

Mailing address

332 Friars Ln
Lake Mary, FL 32746-3459

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
School Counselor 101YS0200XNone listed
Psychoanalyst 102L00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1770075228

Wallace Dasher Iii, MS's National Provider Identifier is 1770075228, issued on May 31, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Jan 31, 2019.