DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE FORSLOF

Active Sole Proprietor

WALLACE FORSLOF is a Counselor healthcare provider located in MILL CREEK, Washington. NPI 1083572887 is currently active in the NPPES registry. Verify at CMS.

Counselor · MILL CREEK, WA

Registration Details

NPI Number
1083572887
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2026 (0.56110007694229 yrs)
Last Updated
Jan 12, 2026
License
MHCA.MC.70001246 (WA)
Sole Proprietor
Yes

Practice Information

Address
16300 MILL CREEK BLVD
MILL CREEK, WA, 980121737
Browse WA providers · Browse ZIP 98012
Phone
2066180770
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in MILL CREEK, WA

Name Credential NPI
MR. RICKEY LEE MCGREGOR LMHC 1720572902
ANDREW CLAIRE BAKER LMFT 1447991161
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.