Individual provider · Type 1 NPI

Kindle Wallace

Marriage & Family Therapist · Merced, CA

NPI number 1972805208 Active

Practice location

480 E. 13th St., Building 2
Merced, CA 95340

Call (209) 381-6800 Map

Fax (209) 725-3883

Mailing address

1350 E Pacheco Blvd Ste B
Los Banos, CA 93635-4946

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Marriage & Family Therapist Primary	106H00000X	LMFT84604 (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 1972805208

Kindle Wallace's National Provider Identifier is 1972805208, issued on Nov 18, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Merced, CA. The record was last updated on Jul 30, 2018.