| Debra J Wallace, PCC-S, LICDC | |
|
1207 W State St, Suite F, Alliance, OH 44601-4686 | |
| (330) 821-3846 | |
| (330) 821-5172 |
| Full Name | Debra J Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1207 W State St, Alliance, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619271228 | NPI | - | NPPES |
| 0182777 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0900224-SUPV (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.151044-CS (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Debra J Wallace, PCC-S, LICDC 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 453-8252 | Debra J Wallace, PCC-S, LICDC 1207 W State St, Suite F, Alliance, OH 44601-4686 Ph: (330) 821-3846 |
Bryan Jeffrey Eshelman, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 | |
Peter Joseph Botti, LISW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506 | |
Jeffery J Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 | |
Patricia L Mangus, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 12402 Cartway St Ne, Alliance, OH 44601 Phone: 330-614-8706 | |
Stephanie L Henschen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 S Arch Ave, Alliance, OH 44601 Phone: 330-821-3961 Fax: 330-884-6120 | |
Jennifer N Berlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506 | |
Arnold Montgomery, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088 |