Individual provider · Type 1 NPI

Carolyn Ann Wallace, LCADC

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1306470455 Active

Practice location

2600 W Broadway
Louisville, KY 40211-1366

Call (502) 690-4286 Map

Mailing address

323 N 42nd St
Louisville, KY 40212-2747

Other practice locations

  • 323 N 42nd St, Louisville, KY 40212-2747 · (502) 356-8210

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X260417 (KY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306470455

Carolyn Ann Wallace, LCADC's National Provider Identifier is 1306470455, issued on Feb 27, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Sep 29, 2026.