DEBRA J WALLACE PCC-S, LICDC
NPI 1619271228
Counselor - Professional in Alliance, OH

Active since December 23, 2010
1207 W STATE ST, SUITE F, ALLIANCE, OH 44601(330) 821-3846(330) 821-5172 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Debra J Wallace Pcc-s, Licdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA J WALLACE PCC-S, LICDC (NPI 1619271228) is an individual professional provider in Alliance, Ohio, licensed in Ohio (E.0900224-SUPV) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1619271228
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEBRA J WALLACECredential: PCC-S, LICDC
Location Address1207 W STATE ST, SUITE FAlliance, OH 44601-4686
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 453-8252 · Fax (330) 453-6716
Fax(330) 821-5172
Sole ProprietorNo
Enumeration DateDecember 23, 2010
Last NPPES UpdateMarch 1, 2017
NPI 1619271228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · E.0900224-SUPV
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.151044-CS (OH)
1207 W STATE ST, Alliance, OH 44601

Other Identifiers 1

Medicaid0182777OH

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist-Hearing Aid Fitter
1207 W STATE ST, SUITE #E
ALLIANCE, OH 44601
Registered Nurse (Community Health)
1207 W STATE ST, SUITE M
ALLIANCE, OH 44601
Internal Medicine
1207 W STATE ST, SUITE N
ALLIANCE, OH 44601
Counselor (Mental Health)
1207 W STATE ST, SUITE M
ALLIANCE, OH 44601
Counselor
1207 W STATE ST
ALLIANCE, OH 44601
Counselor (Addiction (Substance Use Disorder))
1207 W STATE ST, SUITE M
ALLIANCE, OH 44601
Counselor (Professional)
1207 W STATE ST, SUITE, N
ALLIANCE, OH 44601
Internal Medicine
1207 W STATE ST, SUITE N
ALLIANCE, OH 44601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Wallace's NPI number?

The NPI number for Debra Wallace is 1619271228. It was assigned to this individual provider in the NPPES registry on December 23, 2010.

Where is Debra Wallace located?

Debra Wallace practices at 1207 W State St Suite F, Alliance, OH 44601. The listed phone number is (330) 821-3846.

What is Debra Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Debra Wallace was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.