Erin Melissa Wallace, BS/CADC
Counselor, Addiction (Substance Use Disorder) in Mount Vernon, IL. Individual provider (NPI-1).
NPI number1477063444
StatusActive
Last updated in NPPESOct 4, 2017
Details
- NPI
- 1477063444
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Erin Melissa Wallace
- Credential
- BS/CADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2017
- Last updated
- Oct 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | IL | Yes |
Practice location
16338 N Il Highway 37Mount Vernon, IL 62864-8178
Phone 618-242-5835 · Fax 618-242-6392
Mailing address
16338 N Il Highway 37Mount Vernon, IL 62864-8178
Phone 618-242-5835 · Fax 618-242-6392
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- Judith C Morgan, RN/BA/CADCNPI 1619239431
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All 12 Addiction (Substance Use Disorder) Counselor providers in Mount Vernon · All 834 providers in Mount Vernon
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