Individual provider · Type 1 NPI

Calvin Rainford Wallace

Mental Health Counselor · Greenbelt, MD

NPI number 1316810385 Active

Practice location

6500 Lake Park Dr Apt 103
Greenbelt, MD 20770-7001

Call (240) 535-3066 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC15390 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1316810385

Calvin Rainford Wallace's National Provider Identifier is 1316810385, issued on Sep 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenbelt, MD. The record was last updated on Sep 25, 2025.