CAROLYN WALLACE, LCADC

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1306470455

Practice Address

2600 W BROADWAY
Louisville, KY 40211

Phone: (502) 690-4286

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 260417 (KY)

Frequently Asked Questions

NPI 1306470455 is the National Provider Identifier for CAROLYN WALLACE, LCADC, a Counselor - Addiction (Substance Use Disorder) provider located in Louisville, KY. This NPI was enumerated on February 27, 2020.
CAROLYN WALLACE, LCADC practices at 2600 W BROADWAY, Louisville, KY 40211.

Quick Facts

NPI
1306470455
Type
Individual
Enumerated
Feb 27, 2020
Last Updated
May 6, 2020

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