Amanda Rochelle Wallace

NPI #1245030659 in Corvallis, Oregon

Provider Information

NPI Number
1245030659
Entity Type
Individual
Name
Amanda Rochelle Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Mar 14, 2025
Last Updated
Mar 14, 2025

Practice Location

Address
885 NW GRANT AVE
State
Oregon
ZIP Code
97330-4578
Phone
(541) 752-2703

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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