MS. KATHERINE SUE WALLACE MS
NPI 1942583893
Counselor - Addiction (Substance Use Disorder) in Gideon, MO

Q: What is Katherine Wallace's NPI number?

The NPI number for Katherine Wallace is 1942583893. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Q: What is Katherine Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katherine Wallace was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 27, 2011

408 S GIDEON AVE, GIDEON, MO 63848(573) 370-2129 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Katherine Sue Wallace Ms NPPES

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

MS. KATHERINE SUE WALLACE MS (NPI 1942583893) is an individual addiction (substance use disorder) provider in Gideon, Missouri, licensed in Missouri (6385) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1942583893

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. KATHERINE SUE WALLACECredential: MS

Location Address408 S GIDEON AVEGideon, MO 63848-9200

Mailing Address408 S Gideon AveGideon, MO 63848-9200 · (573) 370-2129

Phone(573) 370-2129

Sole ProprietorNo

Enumeration DateSeptember 27, 2011

✔ NPI 1942583893 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 MO · 6385

408 S GIDEON AVE, Gideon, MO 63848

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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 Katherine Wallace's NPI number?

The NPI number for Katherine Wallace is 1942583893. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Katherine Wallace located?

Katherine Wallace practices at 408 S Gideon Ave, Gideon, MO 63848. The listed phone number is (573) 370-2129.

What is Katherine 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 Katherine Wallace was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.