Individual provider · Type 1 NPI
Janna Wallace, RADTI
Addiction (Substance Use Disorder) Counselor · Placerville, CA
NPI number
1750766937
Active
Practice location
6387 Mother Lode Dr Spc 78
Placerville, CA 95667-8225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750766937
Janna Wallace, RADTI's National Provider Identifier is 1750766937, issued on Jul 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Placerville, CA. The record was last updated on Jul 29, 2015.