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Barbara Wallace

Counselor, Addiction (Substance Use Disorder) in El Monte, CA. Individual provider (NPI-1).

NPI number1699367482
StatusActive
Last updated in NPPESFeb 3, 2021

Details

NPI
1699367482
Entity type
Individual (NPI-1)
Name
Barbara Wallace
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2021
Certification date
Feb 3, 2021
Last updated
Feb 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)RH0003581119CAYes

Practice location

11227 Valley Blvd
El Monte, CA 91731-3299

Phone 626-444-0705 · Fax 626-444-0710

Mailing address

11227 Valley Blvd
El Monte, CA 91731-3299

Phone 626-444-0705 · Fax 626-444-0710

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