MARISA WALLACE

MENTOR, OH
NPI1316417439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OH  C.190690)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-12-01
Last Update Date2022-02-17
Business Address
MARISA WALLACE LPC
7232 JUSTIN WAY
MENTOR, OH 44060-4881
Phone number: 440-578-8200
Mailing Address
MARISA WALLACE LPC
7232 JUSTIN WAY
MENTOR, OH 44060-4881
Phone number: 440-578-8200