Katherine Lucas Wallace
Marriage & Family Therapist in Oakland, CA. Individual provider (NPI-1).
NPI number1891190831
StatusActive
Last updated in NPPESNov 4, 2014
Details
- NPI
- 1891190831
- Entity type
- Individual (NPI-1)
- Name
- Katherine Lucas Wallace
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2014
- Last updated
- Nov 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF82518 | CA | Yes |
Other names
- Kasey Wallace (Other Name)
Practice location
3800 Coolidge AveOakland, CA 94602-3311
Phone 510-482-2244 · Fax 510-842-0406
Mailing address
3800 Coolidge AveOakland, CA 94602-3311
Phone 510-482-2244 · Fax 510-842-0406
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All 1,666 Marriage & Family Therapist providers in Oakland · All 20,942 providers in Oakland
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