Connie Wallace, LPCC-S, CTT

NPI 1386668200 · on the registry since 2006 · sole proprietor

Practice

Address: 547 1/2 S James St
Ste. A
Dover, OH 44622
Phone: (330) 343-7400
Fax: (330) 343-7414
Organisation at this address: Guiding Grace Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101YP2500X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-02-16

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