person
Ms. Melany A Wallace
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1003117284

Melany A Wallace is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). Melany A Wallace practices in Long Beach, CA. The NPI Number for Melany A Wallace is 1003117284 and holds a License No. RI-W1009040752 (California).

The current practice location address for Melany A Wallace is 1601 E 10Th St, Long Beach, CA and can be reached out via phone at 562-218-3639.

Location: 1601 E 10Th St, Long Beach, CA, 90813-5035
person
Provider Profile Details
NPI Number
1003117284
Provider Name
Melany A Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 E 10Th St, Long Beach, CA, 90813-5035
Phone Number
562-218-3639
Fax Number
Provider Enumeration Date
11/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 E 10Th St
City
State
Zip
90813-5035
Phone Number
562-218-3639
Fax Number
person
Provider Business Mailing Address Details
Address
1601 E 10Th St
City
State
Zip
90813-5035
Phone Number
562-218-3639
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RI-W1009040752 (California)
Definition
Definition to come...
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