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Organization
WALLACE INTEGRATIVE THERAPY A MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Organization
WALLACE INTEGRATIVE THERAPY A MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WALLACE LMFT (OWNER)
(310) 467-8244
Entity
Organization
Contact information
Practice address
11022 SANTA MONICA BLVD STE 370, LOS ANGELES, CA 90025-7532
(310) 467-8244
Mailing address
11022 SANTA MONICA BLVD STE 370, LOS ANGELES, CA 90025-7532
(310) 467-8244
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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