Jermaine Wallace, in Rock Hill, SC - Counselor

Jermaine Wallace, is a Counselor - Mental Health based in Rock Hill, South Carolina. Jermaine Wallace is licensed to practice in * (Not Available) (license number ) and his current practice location is 223 E Main St, Suite 300, Rock Hill, South Carolina. He can be reached at his office (for appointments etc.) via phone at (803) 328-9600.

NPI number for Jermaine Wallace is 1003124025 and his current mailing address is 250 Piedmont Blvd, Rock Hill, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003124025.

Contact Information

	Jermaine Wallace,
	223 E Main St, Suite 300, Rock Hill, SC 29730-4571
	(803) 328-9600
	(803) 328-7141

Healthcare Provider's Profile

Full Name	Jermaine Wallace
Gender	Male
Speciality	Counselor - Mental Health
Location	223 E Main St, Rock Hill, South Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003124025
Provider Enumeration Date: 09/24/2010
Last Update Date: 09/24/2010

Medical Identifiers

Medical identifiers for Jermaine Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003124025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jermaine Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jermaine Wallace, 250 Piedmont Blvd, Rock Hill, SC 29732-1835 Ph: (803) 328-9600	Jermaine Wallace, 223 E Main St, Suite 300, Rock Hill, SC 29730-4571 Ph: (803) 328-9600

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Counselor in Rock Hill, SC

Medlinda S Garrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2230e Main Street, Suite 300, Rock Hill, SC 29730 Phone: 803-328-9600 Fax: 803-329-7141
Janet C Bunch, MAC, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-324-1800
Kelsey Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 585 Millstream Dr, Rock Hill, SC 29732 Phone: 859-992-7429
Roxie Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 E Main St, Suite 300, Rock Hill, SC 29730 Phone: 803-328-9600 Fax: 803-329-7141
Bevelyn Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Dotson St, Rock Hill, SC 29732 Phone: 803-327-2012 Fax: 803-329-7141
Ashley Ligon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 E Main St, Suite 300, Rock Hill, SC 29730 Phone: 803-328-9600 Fax: 803-329-7141

Jermaine Wallace, - Counselor in Rock Hill, SC