Individual provider · Type 1 NPI

Malcolm Louis Wallace

Mental Health Counselor · San Francisco, CA

NPI number 1053473884 Active

Practice location

982 Mission St
San Francisco, CA 94103-2911

Mailing address

1517 Macarthur Blvd, 7
Oakland, CA 94602-1264

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053473884

Malcolm Louis Wallace's National Provider Identifier is 1053473884, issued on Dec 15, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Francisco, CA. The record was last updated on Feb 2, 2016.