Individual provider · Type 1 NPI

Melissa Sue Wallace, SUDCC

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1881189181 Active

Practice location

2445 W Whites Bridge Ave
Fresno, CA 93706-1225

Call (559) 492-1373 Map

Other practice locations

  • 3575 Pershing Ave, San Diego, CA 92104-3413 · (161) 929-4452
  • 823 Gateway Center Way, San Diego, CA 92102-4541 · (619) 515-2300

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9478 (CA)

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

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About NPI 1881189181

Melissa Sue Wallace, SUDCC's National Provider Identifier is 1881189181, issued on Jun 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Sep 16, 2022.