Individual
ALEXIS A WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
COUNSELING SOLUTIONS, 80 PALOMINO LANE, SUITE 203, BEDFORD, NH 03110
(603) 627-8858
Mailing address
COUNSELING SOLUTIONS, 80 PALOMINO LANE, SUITE 203, BEDFORD, NH 03110
(603) 627-8858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
160
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010002
—
NH
Enumeration date
05/07/2007
Last updated
07/09/2007
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