Calvin Rainford Wallace
Calvin Rainford Wallace is a Mental Health Counselor in Greenbelt, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2025
Practice location Address checks out
6500 Lake Park Dr Apt 103Greenbelt, MD 20770-7001
Phone: (240) 535-3066
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LC15390 (MD) |
|---|
Record details
| NPI number | 1316810385 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2025 |
| Last updated in NPPES | September 25, 2025 |
| Certification date | September 25, 2025 |
| Mailing address | 6500 Lake Park Dr Apt 103, Greenbelt, MD 20770-7001 |
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