Search › Maine › 101YM0800X
Carolyn Wallace, LCPCC, CADC, MS
NPI 1023141363 · on the registry since 2007 · sole proprietor
Practice
- Address
- 25 Middle St
Portland, ME 04101 - Phone
- (207) 653-3999
- Organisation at this address
- Agape Inc.
Thistle Wellness Llc
Thistle Wellness Llc
Leslie Connolly, P.A.
Heart-Led Healing And WellnessInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine