Individual provider · Type 1 NPI
Robin Wallace, M.ED
Addiction (Substance Use Disorder) Counselor · Plymouth, MA
NPI number
1942368618
Active
Practice location
2 School St
Plymouth, MA 02360-3964
Fax (508) 830-1190
Mailing address
91 Clay Pond Rd
Bourne, MA 02532-4239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1942368618
Robin Wallace, M.ED's National Provider Identifier is 1942368618, issued on Dec 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MA. The record was last updated on Jul 8, 2007.