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Mary Wallace
Mental Health Counselor in Vancouver, Washington
NPI 1255760898

Mary Wallace is a Mental Health Counselor based in Portland, WA and is specialized in Mental Health. Mary Wallace practices in Vancouver, WA. The NPI Number for Mary Wallace is 1255760898 and holds a License No. (Washington).

The current practice location address for Mary Wallace is 400 Ne Mother Joseph Pl, Vancouver, WA and can be reached out via phone at 360-514-2216 and via fax at 360-514-6527. You can also correspond with Mary Wallace through the mailing address at PO BOX 8459, PORTLAND, OR - 97207-8459 (mailing address contact number: ).

Location: 400 Ne Mother Joseph Pl, Vancouver, WA, 97207-8459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255760898
Provider Name
Mary Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Ne Mother Joseph Pl, Vancouver, WA, 97207-8459
Phone Number
360-514-2216
Fax Number
360-514-6527
Provider Enumeration Date
11/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Ne Mother Joseph Pl
City
Vancouver
State
Washington
Zip
98664-3200
Phone Number
360-514-2216
Fax Number
360-514-6527
person
Provider Business Mailing Address Details
Address
400 Ne Mother Joseph Pl
City
Vancouver
State
Washington
Zip
98664-3200
Phone Number
360-514-2216
Fax Number
360-514-6527
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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