Wallace, Melissa

Wallace, Melissa is an individual health care provider with primary practice located at 841 Riverside Dr Suite B, Augusta ME 04330-8302. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wallace, Melissa can be contacted via phone (844) 294-5306.

Contact Information

Primary practice address
841 Riverside Dr Suite B Augusta ME 04330-8302
Phone: (844) 294-5306
Fax: (844) 294-5306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC3136 Maine

Profile Details

NPI number 1538607767
LBN Legal business name Wallace, Melissa
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2017
Last updated Feb 8th, 2017 - about 9 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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