Individual provider · Type 1 NPI
Qiana Nichole Wallace, MSW
Mental Health Counselor · Pomona, CA
NPI number
1699961854
Active
Practice location
831 E Arrow Hwy
Pomona, CA 91767-2535
Fax (909) 398-0125
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 1699961854
Qiana Nichole Wallace, MSW's National Provider Identifier is 1699961854, issued on Sep 21, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pomona, CA. The record was last updated on Sep 24, 2007.