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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone 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.