Individual provider · Type 1 NPI

Daniel Lee Wallace

Mental Health Counselor · Central Point, OR

NPI number 1346147808 Active

Practice location

524 Manzanita St
Central Point, OR 97502-2352

Call (541) 423-5236 Map

Fax (541) 423-5248

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346147808

Daniel Lee Wallace's National Provider Identifier is 1346147808, issued on Oct 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Central Point, OR. The record was last updated on Oct 20, 2026.