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Ethan Wallace
Mental Health Counselor in Hillsboro, Oregon
NPI 1225531791

Ethan Wallace is a Mental Health Counselor based in Hillsboro, OR and is specialized in Mental Health. Ethan Wallace practices in Hillsboro, OR. The NPI Number for Ethan Wallace is 1225531791 and holds a License No. (Oregon).

The current practice location address for Ethan Wallace is 222 Se 8Th Ave Ste 212, Hillsboro, OR and can be reached out via phone at 503-352-7333.

Location: 222 Se 8Th Ave Ste 212, Hillsboro, OR, 97123-4218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225531791
Provider Name
Ethan Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
222 Se 8Th Ave Ste 212, Hillsboro, OR, 97123-4218
Phone Number
503-352-7333
Fax Number
Provider Enumeration Date
03/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 Se 8Th Ave Ste 212
City
Hillsboro
State
Oregon
Zip
97123-4218
Phone Number
503-352-7333
Fax Number
person
Provider Business Mailing Address Details
Address
222 Se 8Th Ave Ste 212
City
Hillsboro
State
Oregon
Zip
97123-4218
Phone Number
503-352-7333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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