Search › Illinois › 101YP2500X
Deborah Wallace, LCPC LICENSED CLINIC
NPI 1235999293 · on the registry since 2024
Practice
- Address
- 18772 Rt. 4
Carlinville, IL 62626 - Phone
- (217) 854-2712
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-19
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 Illinois