Individual provider · Type 1 NPI

Ryan H. Wallace, MA-C

Counselor · Kent, WA

NPI number 1295676294 Active

Practice location

325 W Gowe St
Kent, WA 98032-5892

Call (253) 833-7444 Map

Other practice locations

  • 1701 18th Ave S, Seattle, WA 98144-4317 · (253) 833-7444

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMAC.CM.70084394 (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 1295676294

Ryan H. Wallace, MA-C's National Provider Identifier is 1295676294, issued on Apr 3, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kent, WA. The record was last updated on Aug 20, 2026.