WILLIAM WALLACE CRAADC PLPC NPI 1255765194

NPI Information

NPI: 1255765194
Provider Name: WILLIAM WALLACE, CRAADC, PLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
318 S OAK
CALIFORNIA, MO
ZIP 65018
Phone: (573) 796-2233
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William Wallace, CRAADC, PLPC is a professional counselor in California, MO. William Wallace, CRAADC, PLPC NPI is 1255765194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

318 S OAK
CALIFORNIA, MO
ZIP 65018
Phone: (573) 796-2233

The enumeration date for this NPI number is 8/28/2013 and was last updated on 4/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6279	MISSOURI	No
2	101YP2500X	Counselor	Professional	2013038285	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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