Mrs. Connie Lee Wallace, LPCC-S, CTT
Mrs. Connie Lee Wallace, LPCC-S, CTT is a Mental Health Counselor in Dover, Ohio. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 40
- Licensed in
- OH
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
547 1/2 S James St Ste ADover, OH 44622-2137
Phone: (330) 343-7400
Fax: (330) 343-7414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence E0001636-SUPV (OH) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence E0001636-SUPV (OH) |
Record details
| NPI number | 1386668200 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPCC-S , CTT |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2006 |
| Last updated in NPPES | February 16, 2016 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 1986 (40 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Dover
-
Miss. Julia Rosemary Seeley
201 Hospital Dr, Dover, OH 44622-2058 · (330) 343-6631
-
Lindsey Angel Smith
201 Hospital Dr, Dover, OH 44622-2058 · (330) 343-6661
-
MS. Michelle Marie Snyder, LPCC
547-1/2 S James St, Dover, OH 44663-2137 · (330) 343-7400
-
Springvale Health Centers, Inc
201 Hospital Dr, Dover, OH 44622-2058 · (330) 343-6631
-
Mrs. Jill Ann Watson, LPC, CTT
547 1/2 S James St Ste A, Dover, OH 44622-2137 · (330) 343-7400