William Wallace, CRAADC, PLPC
NPI #1255765194 in California, Missouri
Provider Information
- NPI Number
- 1255765194
- Entity Type
- Individual
- Name
- William Wallace, CRAADC, PLPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- CRAADC, PLPC
- Enumeration Date
- Aug 28, 2013
- Last Updated
- Apr 16, 2015
Practice Location
- Address
- 318 S OAK
- City
- California
- State
- Missouri
- ZIP Code
- 65018
- Phone
- (573) 796-2233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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