Individual provider · Type 1 NPI

Caron Elizabeth Wallace, CDPT

Addiction (Substance Use Disorder) Counselor · Port Angeles, WA

NPI number 1770051674 Active

Practice location

825 E 5th St
Port Angeles, WA 98362-3818

Fax (360) 477-4802

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60696850 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1770051674

Caron Elizabeth Wallace, CDPT's National Provider Identifier is 1770051674, issued on Nov 8, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Angeles, WA. The record was last updated on Nov 8, 2018.