Individual provider · Type 1 NPI

Thomas Wallace Jr.

Addiction (Substance Use Disorder) Counselor · Visalia, CA

NPI number 1275945354 Active

Practice location

1646 S Court St
Visalia, CA 93277-4962

Call (559) 625-8890 Map

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 1275945354

Thomas Wallace Jr.'s National Provider Identifier is 1275945354, issued on May 23, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Visalia, CA. The record was last updated on Mar 7, 2016.