# ADRIANNE V WALLACE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407620867
- **Gender:** F
- **Credential:** MFTLC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | BBH-LMFT-LIC-90075 | MT | Yes |
| 106H00000X | Marriage & Family Therapist | BBH-MFLC-LIC-64874 | MT | Yes |

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 07/07/2026
