Individual
ALISA RENEE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 STOCKDALE HWY STE 212, BAKERSFIELD, CA 93309-2664
(661) 473-1500
Mailing address
5121 STOCKDALE HWY STE 212, BAKERSFIELD, CA 93309-2664
(661) 473-1500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RW197H
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023826419
TELECARE CORPORATION
CA
Enumeration date
07/19/2010
Last updated
04/07/2026
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