Individual
PAULA J WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LAC
Contact information
Practice address
1250 15TH ST W, SUITE 201, BILLINGS, MT 59102-4155
(406) 256-1434
Mailing address
1250 15TH ST W, SUITE 201, BILLINGS, MT 59102-4155
(406) 256-1434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
993
MT
104100000X
Social Worker
—
—
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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