Individual provider · Type 1 NPI

Audra Wallace

Professional Counselor · Carlsbad, CA

NPI number 1841894359 Active

Practice location

6183 Paseo Del Norte Ste 140
Carlsbad, CA 92011-1151

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

2 other providers at this address

Erin Felicia Emanuel, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Carlsbad, CA NPI 1225713894
Shelly Elise Brentzel, NPPsychiatric/Mental Health Nurse Practitioner Carlsbad, CA NPI 1982476305

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About NPI 1841894359

Audra Wallace's National Provider Identifier is 1841894359, issued on Nov 24, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Carlsbad, CA. The record was last updated on Nov 24, 2020.