Individual provider · Type 1 NPI

David Wallace

Counselor · Los Angeles, CA

NPI number 1114602604 Active

Practice location

155 Bimini Pl
Los Angeles, CA 90004-5902

Call (213) 388-5423 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114602604

David Wallace's National Provider Identifier is 1114602604, issued on Jun 21, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 21, 2023.