DANNA WALLACE, MSW, CSW, CABIP

Counselor - Professional

Active Individual
NPI: 1891041166

Practice Address

730 FAIRVIEW AVE
Bowling Green, KY 42101

Phone: (270) 904-0201

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 05202012 (KY)
Counselor - Mental Health 101YM0800X No 05202012 (KY)
Counselor - Professional 101YP2500X Yes 05202012 ()

Frequently Asked Questions

NPI 1891041166 is the National Provider Identifier for DANNA WALLACE, MSW, CSW, CABIP, a Counselor - Professional provider located in Bowling Green, KY. This NPI was enumerated on July 24, 2012.
DANNA WALLACE, MSW, CSW, CABIP practices at 730 FAIRVIEW AVE, Bowling Green, KY 42101.

Quick Facts

NPI
1891041166
Type
Individual
Enumerated
Jul 24, 2012
Last Updated
Jul 24, 2012

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