Wallace, Gordon Steven

Wallace, Gordon Steven is an sole proprietor health care provider with primary practice located at 1250 15Th St W , Billings MT 59102-4155. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wallace, Gordon Steven can be contacted via phone (406) 256-1434.

Contact Information

Primary practice address
1250 15Th St W Billings MT 59102-4155
Phone: (406) 256-1434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 970 Montana
Behavioral Health & Social Service Providers / Professional 101YP2500X 942-LCPC Montana

Profile Details

NPI number 1902902059
LBN Legal business name Wallace, Gordon Steven
Credentials L.C.P.C. / L.A.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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