Individual provider · Type 1 NPI

Nadine Alexandria Wallace, CAC-ADP

Addiction (Substance Use Disorder) Counselor · Prince Frederick, MD

NPI number 1871933705 Active

Practice location

975 Solomons Island Rd N
Prince Frederick, MD 20678-3917

Call (410) 535-5400 Map

Mailing address

PO Box 980
Prince Frederick, MD 20678-0980

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 1871933705

Nadine Alexandria Wallace, CAC-ADP's National Provider Identifier is 1871933705, issued on Jun 25, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prince Frederick, MD. The record was last updated on Jun 25, 2013.