Individual
CAROLYN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14623 NE NORTH WOODINVILLE WAY, SUITE #106, WOODINVILLE, WA 98072-8475
(206) 999-6520
Mailing address
14623 NE NORTH WOODINVILLE WAY, SUITE #106, WOODINVILLE, WA 98072-8475
(206) 999-6520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60320930
WA
Other
Enumeration date
03/26/2013
Last updated
01/13/2023
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