Individual provider · Type 1 NPI

Kathryn Michele Wallen, CSAC

Addiction (Substance Use Disorder) Counselor · Winston Salem, NC

NPI number 1831443043 Active

Practice location

1931 Union Cross Rd
Winston Salem, NC 27107-6448

Fax (336) 784-9505

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2787 (NC)

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

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About NPI 1831443043

Kathryn Michele Wallen, CSAC's National Provider Identifier is 1831443043, issued on Nov 9, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 9, 2012.