Individual provider · Type 1 NPI

Andrew Anthony Wallace Sr.

Addiction (Substance Use Disorder) Counselor · Colton, CA

NPI number 1174856587 Active

Practice location

1076 Santo Antonio Dr, Suite B
Colton, CA 92324-8103

Call (909) 433-9824 Map

Fax (909) 433-9830

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRS9874 (CA)

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

27 other providers at this address

Other addiction (substance use disorder) counselor providers in Colton

See all in Colton →

About NPI 1174856587

Andrew Anthony Wallace Sr.'s National Provider Identifier is 1174856587, issued on Sep 16, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Colton, CA. The record was last updated on Sep 16, 2009.