Individual provider · Type 1 NPI
William Blaine-Wallace
Professional Counselor · Farmington, ME
NPI number
1730612839
Active
Practice location
456 New Vineyard Rd
Farmington, ME 04938-5216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | XP4415 (ME) |
Professional Counselor: Definition to come...
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About NPI 1730612839
William Blaine-Wallace's National Provider Identifier is 1730612839, issued on Apr 5, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Farmington, ME. The record was last updated on Apr 5, 2017.