Individual provider · Type 1 NPI

Melany A. Wallace

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1003117284 Active

Practice location

1601 E 10th St
Long Beach, CA 90813-5035

Call (562) 218-3639 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-W1009040752 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003117284

Melany A. Wallace's National Provider Identifier is 1003117284, issued on Nov 4, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Nov 4, 2010.