Kimberly Wallace, CADC1
Kimberly Wallace, CADC1 is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
1427 SE 182nd AvePortland, OR 97233-5008
Phone: (971) 202-7851
Fax: (503) 206-7164
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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 |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 140414 (OR) |
Record details
| NPI number | 1942592340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CADC1 |
| Sole proprietor | No |
| NPI enumerated | May 4, 2011 |
| Last updated in NPPES | October 4, 2018 |
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Claudette F Wallace, CADCIII
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