Individual provider · Type 1 NPI

Christopher James Wallace, LCPC-C, CADC

Professional Counselor · Portland, ME

NPI number 1548052178 Active

Practice location

420 Cumberland Ave
Portland, ME 04101-2823

Call (207) 775-5671 Map

Mailing address

16 Arcadia Dr
Windham, ME 04062-5263

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAC8987 (ME)
Professional Counselor Primary 101YP2500XXL8138 (ME)

Professional Counselor: Definition to come...

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About NPI 1548052178

Christopher James Wallace, LCPC-C, CADC's National Provider Identifier is 1548052178, issued on May 20, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, ME. The record was last updated on Jul 9, 2025.