Search › Ohio › 101YP2500X
Marisa Wallace, LPC
NPI 1316417439 · on the registry since 2018
Practice
- Address
- 7232 Justin Way
Mentor, OH 44060 - Phone
- (440) 578-8200
- Clinicians at this address
- 612
Additional practice sites
- 23780 Farringdon Ave, Euclid, OH
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 390200000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-17
- Status
- Not present in the most recent federal file
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 Ohio