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RACHEL ANN WALLACE BA, CDPT
NPI 1568989788
Counselor - Addiction (Substance Use Disorder) in Kelso, WA

Active since August 28, 2017
210 PACIFIC AVE N, KELSO, WA 98626(360) 423-0203(360) 577-0269 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 22, 2019, Feb 5, 2019, Aug 28, 2017 (3 updates tracked since 2017).

About Rachel Ann Wallace Ba, Cdpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL ANN WALLACE BA, CDPT (NPI 1568989788) is an individual addiction (substance use disorder) provider in Kelso, Washington and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1568989788
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameRACHEL ANN WALLACECredential: BA, CDPT
Location Address210 PACIFIC AVE NKelso, WA 98626-3414
Mailing AddressPo Box 1847Longview, WA 98632-8140 · (360) 423-0203 · Fax (360) 557-0269
Phone(360) 423-0203
Fax(360) 577-0269
Sole ProprietorNo
Enumeration DateAugust 28, 2017
Last NPPES UpdateNovember 22, 20193 updates tracked since enumeration
✔ NPI 1568989788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselorTaxonomy 101Y00000X · License 60336482 (WA)
210 PACIFIC AVE N, Kelso, WA 98626
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Other Identifiers 1

Medicaid2101606WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachel Wallace's NPI number?

The NPI number for Rachel Wallace is 1568989788. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Rachel Wallace located?

Rachel Wallace practices at 210 Pacific Ave N, Kelso, WA 98626. The listed phone number is (360) 423-0203.

What is Rachel Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rachel Wallace was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.