Individual
CATHERINE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
1 E BROAD ST STE 510, BETHLEHEM, PA 18018-5964
(610) 865-4300
(610) 865-4399
Mailing address
1 E BROAD ST STE 510, BETHLEHEM, PA 18018-5964
(610) 865-4300
(610) 865-4399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC012940
PA
Other
Enumeration date
10/08/2015
Last updated
06/24/2021
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