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FANNIE WALLACE, LPC
LPC
Professional Counselor
NPI: 1730628074IndividualAccepts Medicare
Specialties, Licenses & Credentials
Counselor
Counselor
Code: 101Y00000X
A2005077(AR)
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
P2205002(AR)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2018
Contact & Hours
Via practice · 2 locations total
- Address
- 180 MEDICAL PARK PL
HOT SPRINGS, AR 71901 - Phone
- (501) 521-1942
Quick Facts
- NPI
- 1730628074
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 8
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