Individual provider · Type 1 NPI

Manuel Parker Wallace, SUD I

Addiction (Substance Use Disorder) Counselor · Oxnard, CA

NPI number 1477320174 Active

Practice location

2150 N Victoria Ave
Oxnard, CA 93036-7791

Call (805) 382-6296 Map

Fax (805) 382-9487

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 1477320174

Manuel Parker Wallace, SUD I's National Provider Identifier is 1477320174, issued on Dec 4, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oxnard, CA. The record was last updated on Jan 4, 2024.