Individual
ALEX WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC, LPCC
Contact information
Practice address
6675 WESSELMAN ROAD, CINCINNATI, OH 45248
(513) 407-8788
(513) 417-8955
Mailing address
6675 WESSELMAN ROAD, CINCINNATI, OH 45248
(513) 407-8788
(513) 417-8955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39003606A
IN
101YM0800X
Mental Health Counselor
Primary
E.2102199
OH
Other
Enumeration date
08/01/2018
Last updated
10/09/2024
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