Rachel Ann Wallace, BA, CDPT | |
210 Pacific Ave N, Kelso, WA 98626-3414 | |
(360) 423-0203 | |
(360) 577-0269 |
Full Name | Rachel Ann Wallace |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 210 Pacific Ave N, Kelso, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568989788 | NPI | - | NPPES |
2101606 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 60336482 (Washington) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Rachel Ann Wallace, BA, CDPT Po Box 1847, Longview, WA 98632-8140 Ph: (360) 423-0203 | Rachel Ann Wallace, BA, CDPT 210 Pacific Ave N, Kelso, WA 98626-3414 Ph: (360) 423-0203 |
Ariel Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Ms. Rene Kerry Bohannon-oxford, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Pacific Ave North, Kelso, WA 98626 Phone: 360-261-8467 Fax: 360-414-8906 | |
Raven Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: P.o Box 1062, Kelso, WA 98632 Phone: 360-423-0203 | |
Kenneth Case, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 | |
Kimberly Michelle Anderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1710 Allen St, Kelso, WA 98626 Phone: 360-261-7020 | |
Cathy Ludahl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Deborah Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Grade St, Kelso, WA 98626 Phone: 360-425-5855 |