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CARON ELIZABETH WALLACE CDPT
NPI 1770051674
Counselor - Addiction (Substance Use Disorder) in Port Angeles, WA

Active since November 08, 2018
825 E 5TH ST, PORT ANGELES, WA 98362(360) 477-4790(360) 477-4802 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caron Elizabeth Wallace Cdpt NPPES

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

CARON ELIZABETH WALLACE CDPT (NPI 1770051674) is an individual addiction (substance use disorder) provider in Port Angeles, Washington, licensed in Washington (60696850) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1770051674
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCARON ELIZABETH WALLACECredential: CDPT
Location Address825 E 5TH STPort Angeles, WA 98362-3818
Mailing Address825 E 5th StPort Angeles, WA 98362-3818 · (360) 477-4790 · Fax (360) 477-4802
Phone(360) 477-4790
Fax(360) 477-4802
Sole ProprietorNo
Enumeration DateNovember 8, 2018
✔ NPI 1770051674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 60696850
825 E 5TH ST, Port Angeles, WA 98362
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA JOANN HALEY
Counselor (Addiction (Substance Use Disorder))
825 E 5TH ST
PORT ANGELES, WA 98362
Clallam County (360) 477-4790
THOMAS RICHARD JOHNSON
Counselor
825 E 5TH ST
PORT ANGELES, WA 98362
Clallam County (360) 351-4304
DARREN THOMAS CHAPMAN DPT
Physical Therapist
825 E 5TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-4916
BRUCE RONALD SPYRISON SUDPT
Counselor (Addiction (Substance Use Disorder))
825 E 5TH ST
PORT ANGELES, WA 98362
Clallam County (360) 477-4795
EDWARD KENNETH PEREZ
Counselor (Addiction (Substance Use Disorder))
825 E 5TH ST
PORT ANGELES, WA 98362
Clallam County (253) 391-8022
MR. DEREK LEE GREUL CO60912368
Counselor (Addiction (Substance Use Disorder))
825 E 5TH ST
PORT ANGELES, WA 98362
Clallam County (360) 477-4790
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
Substance Abuse Rehabilitation Facility
825 E 5TH ST
PORT ANGELES, WA 98362
Clallam County (360) 351-4306
ROXANNE RAE MATHIS CDPT
Counselor (Addiction (Substance Use Disorder))
825 E 5TH ST
PORT ANGELES, WA 98362
Clallam County (360) 477-4790

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 Caron Wallace's NPI number?

The NPI number for Caron Wallace is 1770051674. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Caron Wallace located?

Caron Wallace practices at 825 E 5th St, Port Angeles, WA 98362. The listed phone number is (360) 477-4790.

What is Caron 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 Caron Wallace was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.