person
William Wallace, CRAADC,PLPC
Professional Counselor in California, Missouri
NPI 1255765194

William Wallace is a Professional Counselor based in California, MO and is specialized in Professional. William Wallace practices in California, MO and has the professional credentials of CRAADC,PLPC. The NPI Number for William Wallace is 1255765194 and holds a License No. 6279 (Missouri).

The current practice location address for William Wallace is 318 S Oak, California, MO and can be reached out via phone at 573-796-2233.

Location: 318 S Oak, California, MO, 65018
person
Provider Profile Details
NPI Number
1255765194
Provider Name
William Wallace
Credential
CRAADC,PLPC
Provider Entity Type
Individual
Gender
Male
Address
318 S Oak, California, MO, 65018
Phone Number
573-796-2233
Fax Number
Provider Enumeration Date
08/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
318 S Oak
City
State
Zip
65018
Phone Number
573-796-2233
Fax Number
person
Provider Business Mailing Address Details
Address
318 S Oak
City
State
Zip
65018
Phone Number
573-796-2233
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2013038285 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6279 (Missouri)
Definition
Definition to come...
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