Karen Marie Wallis M.ED., PCC, LCDC III

NPI 1730416017 - Counselor - 101YA0400X

NPI Details
NPI 1730416017
Gender Female
Enumeration Date 11/07/2009
Last Updated 11/07/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
29325 CHAGRIN BLVD
SUITE #102
BEACHWOOD OH, 44122-4600, US
Phone (216) 548-0523
Fax
Business Location
PO BOX 158
RICHFIELD OH, 44286-0158, US
Phone (216) 548-0523
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Ohio
License Number 091014
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According to our database, Karen Marie Wallis M.ED., PCC, LCDC III NPI is 1730416017, taxonomy code is 101YA0400X and license number is 091014, license state is located at Ohio. Karen Marie Wallis M.ED., PCC, LCDC III physically located at 29325 Chagrin Blvd, Beachwood OH, 44122-4600. NPI Number Karen Marie Wallis M.ED., PCC, LCDC III has the Individual type.

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1730416017 NPI number is provided on an as is basis without warranty of any kind. 1730416017 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Marie Wallis M.ED., PCC, LCDC III are for informational purposes only.