Mike Wallace, L.P.C

NPI 1043446420 · on the registry since 2009 · sole proprietor

Practice

Address: 7075 W Bell Rd
Glendale, AZ 85308
Phone: (623) 810-4959
Organisation at this address: Lifetree Counseling, Llc
Holistic Healing Center Llc
Clarity Wellness Group, Pllc
Freedom Psychiatry Center Llc
Sam Understands Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona