Individual provider · Type 1 NPI

Brian Wallace, RADT 1

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1861939845 Active

Practice location

7907 Ostrow St Ste F
San Diego, CA 92111-3635

Call (858) 300-8282 Map

Other practice locations

  • 7545 Metropolitan Dr, San Diego, CA 92108-4402 · (619) 718-9890

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1235971116 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861939845

Brian Wallace, RADT 1's National Provider Identifier is 1861939845, issued on Jan 27, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Sep 13, 2018.