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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC004754 (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.