person
Ms. Katherine Sue Wallace, MS
Addiction (Substance Use Disorder) Counselor in Gideon, Missouri
NPI 1942583893

Katherine Sue Wallace is an Addiction (Substance Use Disorder) Counselor based in Gideon, MO and is specialized in Addiction (Substance Use Disorder). Katherine Sue Wallace practices in Gideon, MO and has the professional credentials of MS. The NPI Number for Katherine Sue Wallace is 1942583893 and holds a License No. 6385 (Missouri).

The current practice location address for Katherine Sue Wallace is 408 S Gideon Ave, Gideon, MO and can be reached out via phone at 573-370-2129.

Location: 408 S Gideon Ave, Gideon, MO, 63848-9200
person
Provider Profile Details
NPI Number
1942583893
Provider Name
Katherine Sue Wallace
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
408 S Gideon Ave, Gideon, MO, 63848-9200
Phone Number
573-370-2129
Fax Number
Provider Enumeration Date
09/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
408 S Gideon Ave
City
State
Zip
63848-9200
Phone Number
573-370-2129
Fax Number
person
Provider Business Mailing Address Details
Address
408 S Gideon Ave
City
State
Zip
63848-9200
Phone Number
573-370-2129
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6385 (Missouri)
Definition
Definition to come...
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