Mr. Darrell Dewayne Wallace Jr., LGPC
Mr. Darrell Dewayne Wallace Jr., LGPC is a Mental Health Counselor in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2019
Practice location Address checks out
107 E 25th StBaltimore, MD 21218-5213
Phone: (410) 558-0019
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LGP9687 (MD) |
|---|
Record details
| NPI number | 1265086367 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LGPC |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2019 |
| Last updated in NPPES | July 26, 2019 |
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