Individual
MISS ANNA LEESE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
30 GARFIELD ST STE A, ASHEVILLE, NC 28803-7301
(888) 651-4212
Mailing address
15 CASTLEKNOCK DR APT 205, ASHEVILLE, NC 28803-4564
(864) 915-8286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A17911
NC
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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