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Karen Wallis, M.ED., PCC, LCDC III

NPI 1730416017 · on the registry since 2009 · sole proprietor

Practice

Address
29325 Chagrin Blvd
Suite #102
Beachwood, OH 44122
Phone
(216) 548-0523
Clinicians at this address
6

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio