person
Carolyn Ann Wallace, LCPCC,CADC,MS
Addiction (Substance Use Disorder) Counselor in Portland, Maine
NPI 1023141363

Carolyn Ann Wallace is an Addiction (Substance Use Disorder) Counselor based in Portland, ME and is specialized in Addiction (Substance Use Disorder). Carolyn Ann Wallace practices in Portland, ME and has the professional credentials of LCPCC,CADC,MS. The NPI Number for Carolyn Ann Wallace is 1023141363 and holds a License No. XL3204 (Maine).

The current practice location address for Carolyn Ann Wallace is 25 Middle St, Portland, ME and can be reached out via phone at 207-653-3999. You can also correspond with Carolyn Ann Wallace through the mailing address at 25 MIDDLE ST, PORTLAND, ME - 04101-4869 (mailing address contact number: 207-653-3999).

Location: 25 Middle St, Portland, ME, 04101-4869
person
Provider Profile Details
NPI Number
1023141363
Provider Name
Carolyn Ann Wallace
Credential
LCPCC,CADC,MS
Provider Entity Type
Individual
Gender
Female
Address
25 Middle St, Portland, ME, 04101-4869
Phone Number
207-653-3999
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25 Middle St
City
State
Zip
04101-4869
Phone Number
207-653-3999
Fax Number
person
Provider Business Mailing Address Details
Address
25 Middle St
City
State
Zip
04101-4869
Phone Number
207-653-3999
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC4223 (Maine)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
XL3204 (Maine)
Definition
Definition to come...
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