DENESE RENEE WALLACE NPI 1912532615

NPI Information

  • NPI: 1912532615
  • Provider Name: DENESE RENEE WALLACE
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3436 MARY ELDER RD NE
    OLYMPIA, WA
    ZIP 98506
  • Phone: (360) 528-2590

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NPI Details

Denese Renee Wallace is an addiction (substance use disorder) counselor in Olympia, WA. Denese Renee Wallace NPI is 1912532615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3436 MARY ELDER RD NE
OLYMPIA, WA
ZIP 98506-050
Phone: (360) 528-2590

The enumeration date for this NPI number is 3/3/2020 and was last updated on 1/9/2024.

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
1101YM0800XCounselorMental HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)CP61462202WASHINGTONYes

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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