Individual provider · Type 1 NPI

Tallesa Wald, SUDCC

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1932607157 Active

Practice location

12960 San Pablo Ave
Richmond, CA 94805-1307

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17306 (CA)

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

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About NPI 1932607157

Tallesa Wald, SUDCC's National Provider Identifier is 1932607157, issued on Jan 23, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Jun 13, 2024.