Wallace, Alison Quinn
Wallace, Alison Quinn is an individual health care provider with primary practice located at 3 W Altman St , Statesboro GA 30458-5212. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wallace, Alison Quinn can be contacted via phone (912) 764-2402.Contact Information
Primary practice address
3 W Altman St
Statesboro GA 30458-5212
Phone: (912) 764-2402
Fax: (912) 764-5561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC008383 | Georgia |
Profile Details
| NPI number | 1679821201 |
|---|---|
| LBN Legal business name | Wallace, Alison Quinn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2012 |
| Last updated | Jan 29th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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