Question 1

What type of a medical provider is Connie Lee Wallace?

Accepted Answer

Connie Lee Wallace is a Mental Health Counselor.

Question 2

Where does Connie Lee Wallace practice medicine?

Accepted Answer

Connie Lee Wallace has the following practice address:547 1/2 S JAMES ST, DOVER, OH 44622-2137

Question 3

Does this provider have a license number?

Accepted Answer

Connie Lee Wallace has the following license number: License Number E0001636-SUPV issued in Ohio.

Question 4

Does Connie Lee Wallace accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Connie Lee Wallace have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Connie Lee Wallace a member of any Medical Groups?

Accepted Answer

Connie Lee Wallace is not affiliated with any medical groups.

Question 7

Does Connie Lee Wallace participate in PECOS?

Accepted Answer

No, Connie Lee Wallace does not participate in PECOS.

Question 8

What phone number can I call to contact Connie Lee Wallace?

Accepted Answer

You can call the following number: (330)-343-7400

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Connie Lee Wallace.

Question 10

Is Connie Lee Wallace  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 9 years ago (2/16/2016).

Taxonomy	State	Primary?
Mental Health Counselor - Taxonomy Code 101YM0800X	OH	Y
Professional Counselor - Taxonomy Code 101YP2500X	OH	N

Connie Lee Wallace

Overview