Individual provider · Type 1 NPI
Elizabeth Frances Wallace, MA, LPC
Professional Counselor · Portland, OR
NPI number
1659538189
Active
Practice location
6360 SW Merlin Ct
Portland, OR 97219-4942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C2083 (OR) |
Professional Counselor: Definition to come...
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About NPI 1659538189
Elizabeth Frances Wallace, MA, LPC's National Provider Identifier is 1659538189, issued on May 21, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Dec 4, 2021.