| Ms Deborah Faye Wallace, LCPC LICENSED CLINIC | |
|
18772 Rt. 4, Carlinville, IL 62626 | |
| (217) 854-2712 | |
| Not Available |
| Full Name | Ms Deborah Faye Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 18772 Rt. 4, Carlinville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235999293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.003816 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Deborah Faye Wallace, LCPC LICENSED CLINIC 17232 Parkside Drive, Carlinville, IL 62626 Ph: (217) 827-0523 | Ms Deborah Faye Wallace, LCPC LICENSED CLINIC 18772 Rt. 4, Carlinville, IL 62626 Ph: (217) 854-2712 |
Sherry Lynn Kalicak, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 South Locust Street, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 | |
Ms. Nicole Anne List, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 | |
Mr. William Anderson, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 South Locust Street, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 | |
Crystal Corso, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-3778 | |
Thomas L Frydenger, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20548 Timbered Estates Ln, Carlinville, IL 62626 Phone: 217-854-9737 Fax: 217-854-3525 | |
Molly A. Ondrey, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 |