Individual provider · Type 1 NPI

Mary Alice Wall, CDP

Addiction (Substance Use Disorder) Counselor · Burlington, WA

NPI number 1467764522 Active

About NPI 1467764522

Mary Alice Wall, CDP's National Provider Identifier is 1467764522, issued on Jul 6, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burlington, WA. The record was last updated on Jul 6, 2010.