Individual provider · Type 1 NPI

Deana L. Wallace

Addiction (Substance Use Disorder) Counselor · Baker City, OR

NPI number 1912423229 Active

Practice location

3425 13th St
Baker City, OR 97814-1340

Call (541) 523-7400 Map

Fax (541) 523-4927

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-21-883 (OR)

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

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About NPI 1912423229

Deana L. Wallace's National Provider Identifier is 1912423229, issued on Aug 17, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baker City, OR. The record was last updated on Jul 29, 2021.