MR. Mike Thomas Wallace, L.P.C. is a mental health counselor in Glendale, AZ. MR. Mike Thomas Wallace, L.P.C. NPI is 1043446420. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7075 W BELL RD
GLENDALE, AZ
ZIP 85308-546
Phone: (623) 810-4959
The enumeration date for this NPI number is 5/30/2009 and was last updated on 5/30/2009.