Individual provider · Type 1 NPI

Dianna Lynn Wallace

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1386524262 Active

Practice location

7010 E Bogard Rd
Wasilla, AK 99654-4711

Call (907) 373-4732 Map

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1386524262

Dianna Lynn Wallace's National Provider Identifier is 1386524262, issued on Sep 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Sep 3, 2025.