person
Mr. Gordon Steven Wallace, LCPC/LAC
Professional Counselor in Billings, Montana
NPI 1902902059

Gordon Steven Wallace is a Professional Counselor based in Billings, MT and is specialized in Professional. Gordon Steven Wallace practices in Billings, MT and has the professional credentials of LCPC/LAC. The NPI Number for Gordon Steven Wallace is 1902902059 and holds a License No. 970 (Montana).

The current practice location address for Gordon Steven Wallace is 1250 15Th St W, Billings, MT and can be reached out via phone at 406-256-1434. You can also correspond with Gordon Steven Wallace through the mailing address at 1250 15TH ST W, BILLINGS, MT - 59102-4155 (mailing address contact number: 406-256-1434).

Location: 1250 15Th St W, Billings, MT, 59102-4155
person
Provider Profile Details
NPI Number
1902902059
Provider Name
Gordon Steven Wallace
Credential
LCPC/LAC
Provider Entity Type
Individual
Gender
Male
Address
1250 15Th St W, Billings, MT, 59102-4155
Phone Number
406-256-1434
Fax Number
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1250 15Th St W
City
State
Zip
59102-4155
Phone Number
406-256-1434
Fax Number
person
Provider Business Mailing Address Details
Address
1250 15Th St W
City
State
Zip
59102-4155
Phone Number
406-256-1434
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
942-LCPC (Montana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
970 (Montana)
Definition
Definition to come...
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