| Mara Wallace, LPC | |
|
95 Enterprise St Ste 104, Elizabeth, PA 15037-2070 | |
| (412) 754-1100 | |
| Not Available |
| Full Name | Mara Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 95 Enterprise St Ste 104, Elizabeth, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508544883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC015793 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Wallace, LPC 95 Enterprise St Ste 104, Elizabeth, PA 15037-2070 Ph: (412) 754-1100 | Mara Wallace, LPC 95 Enterprise St Ste 104, Elizabeth, PA 15037-2070 Ph: (412) 754-1100 |
Cassandra Sanderson, MS, LPC, NCC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 Enterprise St, Elizabeth, PA 15037 Phone: 412-754-1100 | |
Ms. Isabel Kate Massella, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 Enterprise St Ste 104, Elizabeth, PA 15037 Phone: 412-754-1100 | |
Jillian Ruda, M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Grouse Dr, Elizabeth, PA 15037 Phone: 724-984-9518 | |
Mr. Shaun Dale Mewes, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 Enterprise St Ste 104, Elizabeth, PA 15037 Phone: 412-754-1100 | |
Elizabeth Ann Polovina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 Enterprise St Ste 104, Elizabeth, PA 15037 Phone: 412-754-1100 | |
Connor Paoletti, MS, NCC, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 Enterprise St Ste 104, Elizabeth, PA 15037 Phone: 412-754-1100 |