Individual provider · Type 1 NPI
William Wallace, CRAADC, PLPC
Professional Counselor · California, MO
NPI number
1255765194
Active
Practice location
318 S Oak
California, MO 65018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6279 (MO) |
| Professional Counselor Primary | 101YP2500X | 2013038285 (MO) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in California
About NPI 1255765194
William Wallace, CRAADC, PLPC's National Provider Identifier is 1255765194, issued on Aug 28, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in California, MO. The record was last updated on Apr 16, 2015.