Individual provider · Type 1 NPI

Susan Victoria Wallace, CLINICIAN

Marriage & Family Therapist · Riverside, CA

NPI number 1710247812 Active

Practice location

3576 Arlington Ave Ste 106
Riverside, CA 92506-3907

Call (951) 788-5905 Map

Mailing address

9685 Hayes St
Riverside, CA 92503-3660

Other practice locations

  • 255 N D St Ste 412, San Bernardino, CA 92401-1715 · (951) 788-5905

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC45089 (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 1710247812

Susan Victoria Wallace, CLINICIAN's National Provider Identifier is 1710247812, issued on May 22, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Riverside, CA. The record was last updated on Mar 1, 2022.