Individual
PATRICIA E. WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3365 W CRAIG RD STE 25, NORTH LAS VEGAS, NV 89032-5127
(702) 488-2464
(702) 247-4535
Mailing address
3365 W CRAIG RD STE 25, NORTH LAS VEGAS, NV 89032-5127
(702) 488-2464
(702) 247-4535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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