Individual
MEGAN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
209 DAVIS RD, MT STERLING, KY 40353-9549
(866) 233-1955
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/28/2025
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