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

Ryan Wallace, MA-C

Individual provider Counselor · NPI 1295676294

Ryan Wallace, MA-C is a Counselor in Kent, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

325 W Gowe St
Kent, WA 98032-5892
Phone: (253) 833-7444
Show map & directions

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

Additional practice locations (1)

  • 1701 18th Ave S, Seattle, WA 98144-4317 — (253) 833-7444

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence MAC.CM.70084394 (WA)

Record details

NPI number1295676294
Entity typeIndividual (Type 1)
GenderMale
Credentials MA-C
Sole proprietorNo
NPI enumeratedApril 3, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 2, 2026
Mailing address3724 S Brandon St, Seattle, WA 98118-6128

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