KIMBERLY WALLACE CADC 1
NPI 1942592340
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since May 04, 2011
1427 SE 182ND AVE, PORTLAND, OR 97233(971) 202-7851(503) 206-7164 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)

About KIMBERLY WALLACE

This page provides the complete NPI Profile along with additional information for Kimberly Wallace, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1942592340 assigned on May 2011. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1942592340 Verify this NPI
Provider Name
KIMBERLY WALLACE CADC 1
Gender
Female
Entity Type
Individual
Location Address
1427 SE 182ND AVE PORTLAND, OR 97233
Location Phone
(971) 202-7851
Location Fax
(503) 206-7164
Mailing Address
1427 SE 182ND AVE PORTLAND, OR 97233
Is Sole Proprietor?
No
Enumeration Date
05-04-2011
Last Update Date
10-04-2018
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A Substance Abuse or Addiction Counselor like Kimberly Wallace advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

140414 (OR)

Reviews for KIMBERLY WALLACE CADC 1

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Mental Health)
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942592340, enumerated as an "individual" on May 04, 2011.

The provider is located at 1427 SE 182ND AVE PORTLAND, OR 97233 and the phone number is (971) 202-7851.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).