Individual provider · Type 1 NPI
Amanda Rochelle Wallace
Addiction (Substance Use Disorder) Counselor · Corvallis, OR
NPI number
1245030659
Active
Practice location
885 NW Grant Ave
Corvallis, OR 97330-4578
Fax (541) 368-7690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1245030659
Amanda Rochelle Wallace's National Provider Identifier is 1245030659, issued on Mar 14, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Corvallis, OR. The record was last updated on Mar 14, 2025.