| Mary Etheridge Wallace, LPC | |
|
303 E. Main Street Suite 9, Elizabeth City, NC 27909 | |
| (252) 619-6629 | |
| (252) 331-2499 |
| Full Name | Mary Etheridge Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 303 E. Main Street Suite 9, Elizabeth City, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801136809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701005385 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 12837 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Etheridge Wallace, LPC 303 E. Main Street Suite 9, Elizabeth City, NC 27909-4452 Ph: (252) 619-6629 | Mary Etheridge Wallace, LPC 303 E. Main Street Suite 9, Elizabeth City, NC 27909 Ph: (252) 619-6629 |
Kristina Mills-gregory, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 W Church St, Elizabeth City, NC 27909 Phone: 252-331-0322 Fax: 252-331-0320 | |
Mrs. Wendi Dawn Nixon, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Foxboro Dr, Elizabeth City, NC 27909 Phone: 866-873-4173 Fax: 252-337-7514 | |
Mrs. Jamie Koller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 S Water St, Elizabeth City, NC 27909 Phone: 252-333-4569 | |
Elizabeth Marie Thomas, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1241 N Road St, #a, Elizabeth City, NC 27909 Phone: 252-331-9576 Fax: 252-335-5365 | |
Mrs. Joann Kaminski, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E Elizabeth St, Elizabeth City, NC 27909 Phone: 252-619-0319 | |
Patricia Reading, MSED, NCC, LPC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 E Main St, Suite 201, Elizabeth City, NC 27909 Phone: 252-338-5334 Fax: 252-338-1779 | |
Taylor Renee Guill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Mcarthur Dr Ste B, Elizabeth City, NC 27909 Phone: 252-331-2421 Fax: 252-331-1422 |