Individual provider · Type 1 NPI

Michael Wallace

Addiction (Substance Use Disorder) Counselor · Redwood City, CA

NPI number 1225579899 Active

Practice location

500 Allerton St, Second Floor
Redwood City, CA 94063-1519

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1225579899

Michael Wallace's National Provider Identifier is 1225579899, issued on Mar 16, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redwood City, CA. The record was last updated on Mar 16, 2017.