CHRISTOPHER JAMES WALLACE LCPC-C CADC NPI 1548052178

NPI Information

  • NPI: 1548052178
  • Provider Name: CHRISTOPHER JAMES WALLACE, LCPC-C, CADC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 420 CUMBERLAND AVE
    PORTLAND, ME
    ZIP 04101
  • Phone: (207) 775-5671

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NPI Details

Christopher James Wallace, LCPC-C, CADC is a professional counselor in Portland, ME. Christopher James Wallace, LCPC-C, CADC NPI is 1548052178. 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:

420 CUMBERLAND AVE
PORTLAND, ME
ZIP 04101-823
Phone: (207) 775-5671

The enumeration date for this NPI number is 5/20/2025 and was last updated on 7/9/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CAC8987MAINENo
2101YP2500XCounselorProfessionalXL8138MAINEYes

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: 11/21/2025

NPI Synchronization or Removal

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