Individual provider · Type 1 NPI
Desiree Wallace
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1104637461
Active
Practice location
3310 Eastern Ave
Baltimore, MD 21224-4108
Mailing address
501 Saint Paul St Apt 1004
Baltimore, MD 21202-2280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ADT2383 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
27 other providers at this address
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Other addiction (substance use disorder) counselor providers in Baltimore
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- Reginald ParkerAddiction (Substance Use Disorder) Counselor Baltimore, MD NPI 1013447218
- John Michael Plaster, M.S., CAC-ADAddiction (Substance Use Disorder) Counselor Baltimore, MD NPI 1013645597
- Kathalene Greene, M.S., B.S., CSC-ADAddiction (Substance Use Disorder) Counselor Baltimore, MD NPI 1013756949
- Adrienne Britton, CAC-ADAddiction (Substance Use Disorder) Counselor Baltimore, MD NPI 1023231529
- Delores JordanAddiction (Substance Use Disorder) Counselor Baltimore, MD NPI 1023628849
About NPI 1104637461
Desiree Wallace's National Provider Identifier is 1104637461, issued on Jan 16, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Jan 16, 2025.