Deana L Wallace
Deana L Wallace is an Addiction (Substance Use Disorder) Counselor in Baker City, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
Practice location Address checks out
3425 13th StBaker City, OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence T-21-883 (OR) |
|---|
Record details
| NPI number | 1912423229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 17, 2017 |
| Last updated in NPPES | July 29, 2021 |
| Certification date | July 29, 2021 |
| Mailing address | 3425 13th St, Baker City, OR 97814-1340 |
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