Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chandra Marie Wallace

Individual provider Counselor · NPI 1649069964

Chandra Marie Wallace is a Counselor in University Place, Washington. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7610 40th St W Ste 300
University Place, WA 98466-3834
Phone: (253) 830-6242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1649069964
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address7610 40th St W Ste 300, University Place, WA 98466-3834

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