Individual
MR. GORDON STEVEN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C. / L.A.C.
Contact information
Practice address
1250 15TH ST W, BILLINGS, MT 59102-4155
(406) 256-1434
Mailing address
1250 15TH ST W, P.O. BOX 50090, BILLINGS, MT 59102-4155
(406) 256-1434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
970
MT
101YP2500X
Professional Counselor
942-LCPC
MT
Other
Enumeration date
09/16/2006
Last updated
09/11/2025
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