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CONNIE WALLACE, LPCC-S, CTT
LPCC-S, CTT
Mental Health Counselor
NPI: 1386668200IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
E0001636-SUPV(OH)
Professional Counselor
Counselor — Professional
Code: 101YP2500X
E0001636-SUPV(OH)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 1986
Contact & Hours
- Address
- 547 1/2 S JAMES ST, STE. A
DOVER, OH 44622 - Phone
- (330) 343-7400
Quick Facts
- NPI
- 1386668200
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 40
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