MARY WALLACE

SAN ANTONIO, TX
NPI1255116893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  91155)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: TX  91155)
Enumeration Date2023-08-30
Last Update Date2025-06-22
Business Address
MARY WALLACE M.S, LPC
21252 GATHERING OAK STE 106
SAN ANTONIO, TX 78260-3392
Phone number: 830-730-6090
Mailing Address
MARY WALLACE M.S, LPC
8603 N LOOP 1604 W APT 5204
SAN ANTONIO, TX 78249-2646
Phone number: 708-979-5163