Individual
DAVID C. WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 323-0174
(706) 256-3264
Mailing address
5700 VETERANS PKWY, COLUMBUS, GA 31904-9093
(706) 221-3222
(706) 221-3282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004754
GA
Other
Enumeration date
12/09/2010
Last updated
10/10/2023
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