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Individual

DR. MELANIE DRAKE WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LPC-S, ACS,

Contact information

Practice address
600 CENTURY PARK S STE 200, BIRMINGHAM, AL 35226-3931
(205) 999-5247
Mailing address
2531 WILLOWBROOK CIR, BIRMINGHAM, AL 35242-3441
(205) 994-4560

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1250
AL

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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