Individual provider · Type 1 NPI
Lula Wallace, CAC-AD
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1821874389
Active
Practice location
821 N Eutaw St
Baltimore, MD 21201-4648
Mailing address
4108 Fallstaff Rd
Baltimore, MD 21215-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACO333 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821874389
Lula Wallace, CAC-AD's National Provider Identifier is 1821874389, issued on Aug 31, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Aug 31, 2023.