Individual
MRS. ALESSIA C WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8953 ARCADE RD, ATASCADERO, CA 93422-5305
(805) 458-9222
Mailing address
8953 ARCADE RD, ATASCADERO, CA 93422-5305
(805) 458-9222
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
102310
CA
Other
Enumeration date
12/11/2011
Last updated
03/17/2018
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