Individual provider · Type 1 NPI

Wallace Forslof

Counselor · Mill Creek, WA

NPI number 1083572887 Active

Practice location

16300 Mill Creek Blvd
Mill Creek, WA 98012-1737

Call (206) 618-0770 Map

Mailing address

20318 36th Ave NW
Stanwood, WA 98292-9018

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMHCA.MC.70001246 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1083572887

Wallace Forslof's National Provider Identifier is 1083572887, issued on Jan 12, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mill Creek, WA. The record was last updated on Jan 12, 2026.