Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn Ann Wallace, LCPCC, CADC, MS

Individual provider Mental Health Counselor · NPI 1023141363

Carolyn Ann Wallace, LCPCC, CADC, MS is a Mental Health Counselor in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2007
Specialties on file
2
What do these letters mean?
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

25 Middle St
Portland, ME 04101-4869
Phone: (207) 653-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence XL3204 (ME)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LC4223 (ME)

Record details

NPI number1023141363
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPCC , CADC , MS
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESJanuary 27, 2009

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