Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Deborah Faye Wallace, LCPCLICENSEDCLINIC

Individual provider Professional Counselor · NPI 1235999293

MS. Deborah Faye Wallace, LCPCLICENSEDCLINIC is a Professional Counselor in Carlinville, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

18772 Rt 4
Carlinville, IL 62626
Phone: (217) 854-2712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.003816 (IL)

Record details

NPI number1235999293
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPCLICENSEDCLINIC
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024

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