| Formecia Wallace, MS, MA, LCAS-A | |
|
618 E Boulevard, Williamston, NC 27892-2736 | |
| (252) 792-0659 | |
| (252) 792-0660 |
| Full Name | Formecia Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 618 E Boulevard, Williamston, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518423045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 25169 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Formecia Wallace, MS, MA, LCAS-A 1070 Wynn Rd, Williamston, NC 27892-8844 Ph: (252) 864-6835 | Formecia Wallace, MS, MA, LCAS-A 618 E Boulevard, Williamston, NC 27892-2736 Ph: (252) 792-0659 |
Desiree Sharnel Rodgers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Washington St, Williamston, NC 27892 Phone: 252-508-6088 Fax: 252-792-8045 | |
Cynthia Harrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2371 Sweet Home Rd, Williamston, NC 27892 Phone: 252-341-9505 | |
Mrs. Linda Jones Whitley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Baltimore St, Williamston, NC 27892 Phone: 252-799-9661 Fax: 252-792-6131 | |
Mr. Walter Lee Sadler Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Washington St, Williamston, NC 27892 Phone: 252-792-8035 Fax: 252-792-8045 | |
Jennifer Hampton-dixon, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Elm St Ste A, Williamston, NC 27892 Phone: 252-481-7552 | |
Jeanette Ruffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 Faith Works Community Svcs, Inc, Williamston, NC 27892 Phone: 252-799-3000 Fax: 252-792-8104 |