Individual provider · Type 1 NPI

Alycia Grace Wallace

Peer Specialist · Orange, CA

NPI number 1255975801 Active

Practice location

401 S Tustin St Bldg C
Orange, CA 92866-2550

Fax (714) 361-4861

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1255975801

Alycia Grace Wallace's National Provider Identifier is 1255975801, issued on Nov 6, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Orange, CA. The record was last updated on Nov 6, 2019.