Individual provider · Type 1 NPI

Evan Barrington Wallace, RADT

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1497226229 Active

Practice location

2980 Cedar St
San Diego, CA 92102-1515

Call (619) 260-7370 Map

Fax (619) 239-1817

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA053340123 (CA)

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

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About NPI 1497226229

Evan Barrington Wallace, RADT's National Provider Identifier is 1497226229, issued on Dec 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Dec 18, 2025.