Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KATHERINE SUE WALLACE, MS
ActiveMS. KATHERINE SUE WALLACE, MS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GIDEON, Missouri. NPI 1942583893 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GIDEON, MO
Registration Details
- NPI Number
- 1942583893
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2011 (14.873176734606 yrs)
- Last Updated
- Sep 27, 2011
- License
-
6385 (MO)
Practice Information
- Address
-
408 S GIDEON AVEGIDEON, MO, 638489200Browse MO providers · Browse ZIP 63848
- Phone
- 5733702129
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.