Individual provider · Type 1 NPI

Sasha Wallace

Professional Counselor · Modesto, CA

NPI number 1346911807 Active

Practice location

1700 Mchenry Village Way Ste 11B
Modesto, CA 95350-4341

Call (209) 550-5850 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Behavior Technician 106S00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1346911807

Sasha Wallace's National Provider Identifier is 1346911807, issued on Sep 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Modesto, CA. The record was last updated on Feb 6, 2023.