TYSHAUNDRA RENEE WALLACE

HIGH POINT, NC
NPI1669937595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-25036)
Enumeration Date2019-02-05
Last Update Date2019-02-05
Business Address
TYSHAUNDRA RENEE WALLACE M.Ed, LCASA, QP
1001 PHILLIPS AVE
HIGH POINT, NC 27262-7251
Phone number: 336-854-2560
Mailing Address
TYSHAUNDRA RENEE WALLACE M.Ed, LCASA, QP
438 DRUM RD APT 8
REIDSVILLE, NC 27320-9062
Phone number:
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