Individual provider · Type 1 NPI
Wesley C'terrell Bacchus
Mental Health Counselor · Santa Ana, CA
NPI number
1629358643
Active
Practice location
2130 E 4th St, 200
Santa Ana, CA 92705-3818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1629358643
Wesley C'terrell Bacchus's National Provider Identifier is 1629358643, issued on Aug 22, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Ana, CA. The record was last updated on Aug 24, 2011.