Carolyn Ann Wallace, LCPCC, CADC, MS - Counselor in Portland, ME

Carolyn Ann Wallace, LCPCC, CADC, MS is a Counselor - Mental Health based in Portland, Maine. Carolyn Ann Wallace is licensed to practice in Maine (license number XL3204) and her current practice location is 25 Middle St, Portland, Maine. She can be reached at her office (for appointments etc.) via phone at (207) 653-3999.

NPI number for Carolyn Ann Wallace is 1023141363 and her current mailing address is 25 Middle St, Portland, Maine. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023141363.

Contact Information

Carolyn Ann Wallace, LCPCC, CADC, MS
25 Middle St,
Portland, ME 04101-4869
(207) 653-3999
Not Available

Healthcare Provider's Profile

Full NameCarolyn Ann Wallace
GenderFemale
SpecialityCounselor - Mental Health
Location25 Middle St, Portland, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023141363
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 01/27/2009

Medical Identifiers

Medical identifiers for Carolyn Ann Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023141363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health XL3204 (Maine)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) LC4223 (Maine)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Ann Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn Ann Wallace, LCPCC, CADC, MS
25 Middle St,
Portland, ME 04101-4869

Ph: (207) 653-3999
Carolyn Ann Wallace, LCPCC, CADC, MS
25 Middle St,
Portland, ME 04101-4869

Ph: (207) 653-3999

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› Verified 2 days ago


Counselor in Portland, ME

Maria A Moustrouphis, LCSW, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 77 Vermont Ave, Portland, ME 04103
Phone: 207-409-9487    
Katherine P Whittemore, LCPC-C
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1050 Forest Ave, Portland, ME 04103
Phone: 207-242-0443    
Scott W. Hutcherson, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 165 Lancaster St, Portland, ME 04101
Phone: 207-874-1030    Fax: 207-874-1044
Emily-anne Garland, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 576 Saint John St, Portland, ME 04102
Phone: 207-780-0020    Fax: 207-780-0022
Michael H Freeman, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 250 Anderson St, Portland, ME 04101
Phone: 207-775-5671    Fax: 207-871-1243
David R Arnold, LCPC-C
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 44 Exchange St, Portland, ME 04101
Phone: 207-209-5067    
Rani Wilson, LCPC-CC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 901 Washington Ave Ste 100, Portland, ME 04103
Phone: 207-871-1200    Fax: 207-871-1232

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