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

WILLIAM BLAINE-WALLACE

Active Sole Proprietor

WILLIAM BLAINE-WALLACE is a Professional Counselor healthcare provider located in FARMINGTON, Maine. NPI 1730612839 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · FARMINGTON, ME

Registration Details

NPI Number
1730612839
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2017 (9.3456592774569 yrs)
Last Updated
Apr 5, 2017
License
XP4415 (ME)
Sole Proprietor
Yes

Practice Information

Address
456 NEW VINEYARD RD
FARMINGTON, ME, 049385216
Browse ME providers · Browse ZIP 04938
Phone
2074919645
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in FARMINGTON, ME

Name Credential NPI
ELLEN MIRIAM GRUNBLATT MD, LCPC 1114019759
KATHLEEN M DANFORTH LCPC C 1770655144
JAMES FREDERICK SMITH LCPC 1285779462
DEE ESTELLE WEBBER S.T.M. 1073722518
SARAH E OEMCKE LCPC 1679770028
KATIE FOURNIER LCPC 1720256449
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.