MS. CAROL SEEBURGER WALLACE MA-LPC
NPI 1790845006
Counselor - Mental Health in Midland, MI
Active since December 11, 2006
About Ms. Carol Seeburger Wallace Ma-lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CAROL SEEBURGER WALLACE MA-LPC (NPI 1790845006) is an individual mental health provider in Midland, Michigan, licensed in Michigan (6401005864) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1790845006
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CAROL SEEBURGER WALLACECredential: MA-LPC
Location Address220 W ELLSWORTH STMidland, MI 48640-5180
Mailing Address5496 N Lake Sanford RdSanford, MI 48657-9327 · (989) 689-3557
Phone(989) 837-0753
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790845006 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401005864
220 W ELLSWORTH ST, Midland, MI 48640
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790845006, enumerated as an "individual" on December 11, 2006.
The provider is located at 220 W ELLSWORTH ST MIDLAND, MI 48640 and the phone number is (989) 837-0753.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
