Individual
BARBARA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11227 VALLEY BLVD, EL MONTE, CA 91731-3299
(626) 444-0705
(626) 444-0710
Mailing address
11227 VALLEY BLVD, EL MONTE, CA 91731-3299
(626) 444-0705
(626) 444-0710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RH0003581119
CA
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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