Wallace, Mary

Wallace, Mary is an individual health care provider with primary practice located at 400 Ne Mother Joseph Pl , Vancouver WA 98664-3200. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Related Providers / Adult Companion. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wallace, Mary can be contacted via phone (360) 514-2216.

Contact Information

Primary practice address
400 Ne Mother Joseph Pl Vancouver WA 98664-3200
Phone: (360) 514-2216
Fax: (360) 514-6527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Related Providers / Adult Companion 372600000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61086337 Washington

Profile Details

NPI number 1255760898
LBN Legal business name Wallace, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Dec 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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