Individual provider · Type 1 NPI

Kristina Marie Wallace

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

NPI number 1629498175 Active

Practice location

1380 Howard St
San Francisco, CA 94103-2638

Call (415) 255-3607 Map

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 1629498175

Kristina Marie Wallace's National Provider Identifier is 1629498175, issued on Apr 23, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Apr 23, 2014.