Individual provider · Type 1 NPI

Darius Isiahy Wallace

Addiction (Substance Use Disorder) Counselor · Salinas, CA

NPI number 1093487357 Active

Practice location

427 Pajaro St Ste 4
Salinas, CA 93901-3459

Fax (831) 424-9717

Mailing address

3929, 104 Walnut Ave
Santa Cruz, CA 95060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1408181020 (CA)

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

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About NPI 1093487357

Darius Isiahy Wallace's National Provider Identifier is 1093487357, issued on Oct 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salinas, CA. The record was last updated on May 17, 2024.