| Mrs Connie Lee Wallace, LPCC-S, CTT | |
|
547 1/2 S James St, Ste. A, Dover, OH 44622-2137 | |
| (330) 343-7400 | |
| (330) 343-7414 |
| Full Name | Mrs Connie Lee Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 547 1/2 S James St, Dover, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386668200 | NPI | - | NPPES |
| 741212 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E0001636-SUPV (Ohio) | Primary |
| 101YP2500X | Counselor - Professional | E0001636-SUPV (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Connie Lee Wallace, LPCC-S, CTT Po Box 534, New Philadelphia, OH 44663-0534 Ph: (330) 343-7400 | Mrs Connie Lee Wallace, LPCC-S, CTT 547 1/2 S James St, Ste. A, Dover, OH 44622-2137 Ph: (330) 343-7400 |
Mrs. Jill Ann Watson, LPC, CTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 547 1/2 S James St, Ste. A, Dover, OH 44622 Phone: 330-343-7400 Fax: 330-343-7414 | |
Jacqueline Lynn Hostetler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
Jessica L Lance, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6405 | |
Heather Ely, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 S Wooster Ave, Dover, OH 44622 Phone: 513-834-7063 Fax: 513-873-1567 | |
Barbara J Wallis, LPCC-SUPV Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6405 | |
Lindsey Angel Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6661 | |
John Gresock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 897 E Iron Ave, Dover, OH 44622 Phone: 330-343-5555 Fax: 330-343-1601 |