Individual
SARAH WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
2415 MORGANTON BLVD SW, LENOIR, NC 28645-9691
(828) 394-5563
Mailing address
7509 GLENHARDEN DR, RALEIGH, NC 27613-1516
(919) 825-5797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30688
NC
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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