Individual provider · Type 1 NPI

Trevor B. Wallace, MFTI/IMF

Marriage & Family Therapist · Sacramento, CA

NPI number 1538295142 Active

Practice location

6833 Stockton Blvd, Ste 485
Sacramento, CA 95823-2372

Call (916) 394-0800 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X70088 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1538295142

Trevor B. Wallace, MFTI/IMF's National Provider Identifier is 1538295142, issued on Feb 26, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sacramento, CA. The record was last updated on Apr 18, 2012.