Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA WALLACE, CADC
ActiveMELISSA WALLACE, CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in AUGUSTA, Maine. NPI 1538607767 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · AUGUSTA, ME
Registration Details
- NPI Number
- 1538607767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2017 (9.4983450637157 yrs)
- Last Updated
- Feb 8, 2017
- License
-
CAC3136 (ME)
Practice Information
- Address
-
841 RIVERSIDE DRSUITE BAUGUSTA, ME, 043308302Browse ME providers · Browse ZIP 04330
- Phone
- 8442945306
- Fax
- 8442945306
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in AUGUSTA, ME
| Name | Credential | NPI |
|---|---|---|
| ROBERT MICHAEL LONG | LCPC/LADC | 1073527867 |
| ELIZABETH WARE KOOPMAN | LCPC/CADC | 1851303432 |
| SUSAN GARRY | LADC | 1104922293 |
| DAVID LAWRENCE | LADC | 1740327816 |
| JEFF RANCOURT | LADC | 1972724706 |
| JODIE LYNN HART | LADC | 1285809921 |
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.