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Individual

CARRIE WALLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1021 REVERE DR, BOWLING GREEN, OH 43402-1224
(419) 664-4896
Mailing address
535 W GYPSY LANE RD LOT 75, BOWLING GREEN, OH 43402-4527

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
C.2305208
OH

Other

Enumeration date
12/21/2020
Last updated
01/02/2026
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