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Individual
MR. WALLACE DASHER III
Active
Individual
MR. WALLACE DASHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
102L00000X
Psychoanalyst
—
—
Other
Enumeration date
05/31/2018
Last updated
01/31/2019
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