Ty'Cristian Q. Wallace, LGPC, CAC-ADS
Ty'Cristian Q. Wallace, LGPC, CAC-ADS is a Mental Health Counselor in Baltimore, Maryland. Works from 2 locations. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
638 N Gilmor StBaltimore, MD 21217-2101
Phone: (410) 462-2268
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 829 Fieldcrest Rd, Cambridge, MD 21613-9423 — (410) 228-8101
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LGP15614 (MD) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence AC3232 (MD) |
Record details
| NPI number | 1255053609 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LGPC , CAC-ADS |
| Sole proprietor | No |
| NPI enumerated | September 13, 2022 |
| Last updated in NPPES | March 5, 2026 |
| Certification date | March 5, 2026 |
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