Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Connie L. Wallace, LPCC-S

Individual provider Professional Counselor · NPI 1821181603

Mrs. Connie L. Wallace, LPCC-S is a Professional Counselor in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
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Practice location Address checks out

6435 E Broad St
Columbus, OH 43213-1507
Phone: (614) 355-8160
Fax: (614) 355-8180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.0004373-SUPV (OH)

Record details

NPI number1821181603
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

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