Individual provider · Type 1 NPI

Carol L. Wallace, MA, LMFT

Marriage & Family Therapist · Elk Grove, CA

NPI number 1912022492 Active

Practice location

2376 Maritime Dr, Suite 200
Elk Grove, CA 95758

Call (916) 531-5647 Map

Fax (916) 405-3470

Other practice locations

8912 Volunteer Ln, Sacramento, CA 95826-3221 · (916) 344-0199

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC48746 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1912022492

Carol L. Wallace, MA, LMFT's National Provider Identifier is 1912022492, issued on Mar 21, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Elk Grove, CA. The record was last updated on Jun 3, 2018.