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MARY WALLACE
Mental Health Counselor
NPI: 1255760898IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
LH61086337(WA)
Adult Companion
Adult Companion
Code: 372600000X
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2015
Contact & Hours
Via practice · 2 locations total
- Address
- 1818 SE Division St
Portland, OR 97202 - Phone
- (503) 963-7619
Quick Facts
- NPI
- 1255760898
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 2
- Years in Practice
- 11
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