Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN ANN WALLACE, LCPCC, CADC, MS
Active Sole ProprietorCAROLYN ANN WALLACE, LCPCC, CADC, MS is a Mental Health Counselor healthcare provider located in PORTLAND, Maine. NPI 1023141363 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PORTLAND, ME
Registration Details
- NPI Number
- 1023141363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 14, 2007 (19.430970321241 yrs)
- Last Updated
- Jan 27, 2009
- Licenses
-
XL3204 (ME)LC4223 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 MIDDLE STPORTLAND, ME, 041014869Browse ME providers · Browse ZIP 04101
- Phone
- 2076533999
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Mental Health Counselor Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| DONALD GENE HODGSON | D.MIN. (PSYCH) | 1881664506 |
| MEGAN DEVINE | LCPCC | 1184693822 |
| SUZANNE ROSE MCCARTHY | LCPC | 1588611156 |
| CATHERINE C. ELLYSON | LCPC | 1568406239 |
| SARA FEIN LEVITE | LCPC | 1972530152 |
| MARY ANNE CRAWFORD | LCPC | 1225065501 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.