Shelbie Rene Wallace in West Linn - Counselor
Shelbie Rene Wallace - NPI 1457554693
Shelbie Rene Wallace is a Counselor in West Linn, Oregon. Shelbie Rene Wallace practices all healthcare services and medical treatments related to Counselor. The NPI Number for Shelbie Rene Wallace is 1457554693. The last update date is 2023-12-06.
Shelbie Rene Wallace's current location address is 1800 Blankenship Rd Ste 448, West Linn, Oregon. You can contact this provider via phone number 9713780367. The mailing address for Shelbie Rene Wallace is 1800 Blankenship Rd Ste 448, West Linn, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelbie Rene Wallace |
|---|---|
| Address | 1800 Blankenship Rd Ste 448, West Linn, Oregon |
| Phone Number | 9713780367 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1457554693 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2023-12-06 |
Provider Mailing Address Detail
| Address | 1800 Blankenship Rd Ste 448 |
|---|---|
| City | West Linn |
| State | Oregon (OR) |
| Post Code | 970684191 |
| Phone Number | 9713780367 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | LC3738 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identifier code issued to Shelbie Rene Wallace by the Centers for Medicare & Medicaid Services?
The Shelbie Rene Wallace has been assigned the NPI (National Provider Identifier) 1457554693. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shelbie Rene Wallace?
The Shelbie Rene Wallace is situated at 1800 Blankenship Rd Ste 448, in the city of West Linn, state of OR, with the zip code 970684191.
What is Shelbie Rene Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shelbie Rene Wallace is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457554693 to Shelbie Rene Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1457554693 to Shelbie Rene Wallace on 2007-06-06.
When was the Shelbie Rene Wallace's information last updated?
The Shelbie Rene Wallace's information was last updated on 2023-12-06.
NPI Number: 1902802911
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