Organization
DONYA WALLACE COUNSELING &CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONYA D WALLACE LPC (OWNER)
(843) 354-7324
Entity
Organization
Contact information
Practice address
201 SHORT ST, KINGSTREE, SC 29556-3926
(843) 354-7324
(843) 354-6461
Mailing address
201 SHORT ST, KINGSTREE, SC 29556-3926
(843) 354-7324
(843) 354-6461
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4697
SC
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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