Individual provider · Type 1 NPI

Susan Moore-Wallace

Addiction (Substance Use Disorder) Counselor · Pottstown, PA

NPI number 1790357796 Active

Practice location

11 Robinson St
Pottstown, PA 19464-6421

Call (484) 941-0500 Map

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 1790357796

Susan Moore-Wallace's National Provider Identifier is 1790357796, issued on Jul 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pottstown, PA. The record was last updated on Jul 11, 2021.