Individual provider · Type 1 NPI

Diane Wallace, CADC II

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1497113286 Active

Practice location

605 W 4th Ave
Eugene, OR 97402-5022

Call (541) 762-4575 Map

Fax (541) 684-4156

Mailing address

687 Cheshire Ave
Eugene, OR 97402-5060

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 1497113286

Diane Wallace, CADC II's National Provider Identifier is 1497113286, issued on Feb 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Mar 29, 2019.