Individual provider · Type 1 NPI

Erin Melissa Wallace, BS/CADC

Addiction (Substance Use Disorder) Counselor · Mount Vernon, IL

NPI number 1477063444 Active

Practice location

16338 N Il Highway 37
Mount Vernon, IL 62864-8178

Fax (618) 242-6392

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 1477063444

Erin Melissa Wallace, BS/CADC's National Provider Identifier is 1477063444, issued on Oct 4, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Vernon, IL. The record was last updated on Oct 4, 2017.