Individual
MISS JULIE ANNE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
3820 MERTON DR STE 218, RALEIGH, NC 27609-6609
(919) 781-8370
Mailing address
241 CHELTENHAM DR, AIKEN, SC 29803-6663
(803) 522-2247
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
TBD
NC
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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