John Wallace, LPCC

NPI 1821272550 · on the registry since 2007

Practice

Address: 5134 Cedar Village Dr
Mason, OH 45040
Phone: (513) 229-7900
Organisation at this address: Grandi Inc.
Laura Vail Sage Inc
Crestview Mental Health Of Ohio, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-17

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