Marguerite Therese Wallace M.S. ED, LPCC

NPI 1659566164 - Counselor - 101YM0800X

NPI Details
NPI 1659566164
Gender Female
Enumeration Date 09/07/2007
Last Updated 09/07/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1 ELIZABETH PLACE
WEST PAVILLION FIRST FLOOR SUITE C
DAYTON OH, 45408, US
Phone (937) 256-5300
Fax
Business Location
PO BOX 190
ALPHA OH, 45301-0190, US
Phone (937) 253-5600
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Ohio
License Number 2893
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According to our database, Marguerite Therese Wallace M.S. ED, LPCC NPI is 1659566164, taxonomy code is 101YM0800X and license number is 2893, license state is located at Ohio. Marguerite Therese Wallace M.S. ED, LPCC physically located at 1 Elizabeth Place, Dayton OH, 45408. NPI Number Marguerite Therese Wallace M.S. ED, LPCC has the Individual type.

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1659566164 NPI number is provided on an as is basis without warranty of any kind. 1659566164 is maintained by the National Plan & Provider Enumeration System. The contents of Marguerite Therese Wallace M.S. ED, LPCC are for informational purposes only.