Individual
AUSTIN DEWAYNE WALLACE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CT
Contact information
Practice address
299 CRAMER CREEK CT, DUBLIN, OH 43017-2586
(614) 889-5722
Mailing address
299 CRAMER CREEK CT, DUBLIN, OH 43017-2586
(614) 889-5722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2607563-TRNE
OH
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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