William Wallace, CRAADC, PLPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255765194

William Wallace, CRAADC, PLPC is a Mental Health Counselor in California, Missouri. Qualified in 2011, 15 years ago. Practices with Hope Connections, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying: 15
Licensed in: MO
In the registry since: 2013
Specialties on file: 2

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Practice location Address checks out

318 S Oak
California, MO 65018
Phone: (573) 796-2233

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

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence 2013038285 (MO)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X · Licence 6279 (MO)

Record details

NPI number	1255765194
Entity type	Individual (Type 1)
Gender	Male
Credentials	CRAADC , PLPC
Sole proprietor	No
NPI enumerated	August 28, 2013
Last updated in NPPES	April 16, 2015
Mailing address	318 S Oak, California, MO 65018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2011 (15 years in practice)
Group practice	Hope Connections, Llc — 8 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount