Deana L Wallace

NPI #1912423229 in Baker City, Oregon

Provider Information

NPI Number
1912423229
Entity Type
Individual
Name
Deana L Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Aug 17, 2017
Last Updated
Jul 29, 2021

Practice Location

Address
3425 13TH ST
State
Oregon
ZIP Code
97814-1340
Phone
(541) 523-7400

Specialties & Taxonomy Codes

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

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