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

Constance Alberta Wallace

Individual provider Mental Health Counselor · NPI 1437015633

Constance Alberta Wallace is a Mental Health Counselor in Ashland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

1836 Fremont St
Ashland, OR 97520-2537
Phone: (541) 414-1720
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (OR)

Record details

NPI number1437015633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025
Mailing address1482 Woodland Dr, Ashland, OR 97520-3452

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