ERIN MELISSA WALLACE

MOUNT VERNON, IL
NPI1477063444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-10-04
Last Update Date2017-10-04
Business Address
Mrs. ERIN MELISSA WALLACE BS/CADC
16338 N IL HIGHWAY 37
MOUNT VERNON, IL 62864-8178
Phone number: 618-242-5835
Mailing Address
Mrs. ERIN MELISSA WALLACE BS/CADC
16338 N IL HIGHWAY 37
MOUNT VERNON, IL 62864-8178
Phone number: 618-242-5835