Individual provider · Type 1 NPI

Gordon Steven Wallace, L.C.P.C. / L.A.C.

Addiction (Substance Use Disorder) Counselor · Billings, MT

NPI number 1902902059 Active

Practice location

1250 15th St W
Billings, MT 59102-4155

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X970 (MT)
Professional Counselor 101YP2500X942-LCPC (MT)

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

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About NPI 1902902059

Gordon Steven Wallace, L.C.P.C. / L.A.C.'s National Provider Identifier is 1902902059, issued on Sep 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Billings, MT. The record was last updated on Sep 11, 2025.