Individual provider · Type 1 NPI

David C. Wallace

Professional Counselor · Columbus, GA

NPI number 1952604183 Active

Practice location

2100 Comer Ave
Columbus, GA 31904-8725

Fax (706) 256-3264

Mailing address

5700 Veterans Pkwy
Columbus, GA 31904-9093

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC004754 (GA)

Professional Counselor: Definition to come...

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About NPI 1952604183

David C. Wallace's National Provider Identifier is 1952604183, issued on Dec 9, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbus, GA. The record was last updated on Oct 10, 2023.