Individual provider · Type 1 NPI
Connie J. Wallace, MFT
Professional Counselor · Bakersfield, CA
NPI number
1861588071
Active
Practice location
1412 17th St # 352
Bakersfield, CA 93301-5211
Fax (661) 872-3247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | MFC40616 (CA) |
Professional Counselor: Definition to come...
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About NPI 1861588071
Connie J. Wallace, MFT's National Provider Identifier is 1861588071, issued on Oct 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bakersfield, CA. The record was last updated on Aug 12, 2010.