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

Rachel Ann Wallace, BA, CDPT

Individual provider Counselor · NPI 1568989788

Rachel Ann Wallace, BA, CDPT is a Counselor in Kelso, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

210 Pacific Ave N
Kelso, WA 98626-3414
Phone: (360) 423-0203
Fax: (360) 577-0269
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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
Counselor Taxonomy 101Y00000X · Licence 60336482 (WA)

Record details

NPI number1568989788
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , CDPT
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESNovember 22, 2019

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