Individual provider · Type 1 NPI

Carol Seeburger Wallace, MA-LPC

Mental Health Counselor · Midland, MI

NPI number 1790845006 Active

Practice location

220 W Ellsworth St
Midland, MI 48640-5180

Mailing address

5496 N Lake Sanford Rd
Sanford, MI 48657-9327

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401005864 (MI)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1790845006

Carol Seeburger Wallace, MA-LPC's National Provider Identifier is 1790845006, issued on Dec 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Midland, MI. The record was last updated on Jul 8, 2007.