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Mr. Steven Lane Wallace
Mental Health Counselor in Richland, Washington
NPI 1528848926

Steven Lane Wallace is a Mental Health Counselor based in Pasco, WA and is specialized in Mental Health. Steven Lane Wallace practices in Richland, WA. The NPI Number for Steven Lane Wallace is 1528848926 and holds a License No. MC61453392 (Washington).

The current practice location address for Steven Lane Wallace is 750 George Washington Way Ste 8, Richland, WA and can be reached out via phone at 509-593-3322.

Location: 750 George Washington Way Ste 8, Richland, WA, 99301-6106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528848926
Provider Name
Steven Lane Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 George Washington Way Ste 8, Richland, WA, 99301-6106
Phone Number
509-593-3322
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 George Washington Way Ste 8
City
Richland
State
Washington
Zip
99352-4247
Phone Number
509-593-3322
Fax Number
person
Provider Business Mailing Address Details
Address
750 George Washington Way Ste 8
City
Richland
State
Washington
Zip
99352-4247
Phone Number
509-593-3322
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC61453392 (Washington)
Definition
Definition to come...
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