Individual
H WALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1381 LURECLIFF PL, FORT MILL, SC 29708-7956
(704) 968-7499
Mailing address
1381 LURECLIFF PL, FORT MILL, SC 29708-7956
(704) 968-7499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11061
NC
101YP2500X
Professional Counselor
Primary
6413
SC
Other
Enumeration date
04/09/2017
Last updated
04/09/2017
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