KATHERINE MELISSA AINSLIE-WALLACE LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1639671951- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 175 W B ST STE H, SPRINGFIELD, OR, 974774575
- Phone
- (541) 423-2633
Specialties & Taxonomies
Counselor, Professional
License: WI #3845-226
Counselor, Professional
Primary License: OR #C6261