Carolyn Ann Wallace, LCPCC, CADC, MS
NPI #1023141363 in Portland, Maine
Provider Information
- NPI Number
- 1023141363
- Entity Type
- Individual
- Name
- Carolyn Ann Wallace, LCPCC, CADC, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPCC, CADC, MS
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Jan 27, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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