CHAKIAH ELAINE WALLACE

NORTH LITTLE ROCK, AR
NPI1902629199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: AR  A2411012)
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
(Licence: AR  A2411012)
101YM0800X Counselor, Mental Health
Enumeration Date2024-11-05
Last Update Date2024-11-18
Business Address
CHAKIAH ELAINE WALLACE LAC
513 MAIN ST
NORTH LITTLE ROCK, AR 72114-5329
Phone number: 501-777-5969
Mailing Address
CHAKIAH ELAINE WALLACE LAC
3965 SYDNEY DR
CONWAY, AR 72034-7791
Phone number: 501-438-2870