LANDON WALLACE

LEXINGTON, SC
NPI1174108682
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  8287)
Enumeration Date2021-03-16
Last Update Date2023-09-20
Business Address
LANDON WALLACE
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-996-1500
Mailing Address
LANDON WALLACE
108 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7968
Phone number: 803-996-1500