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Malcolm Louis Wallace
Mental Health Counselor in San Francisco, California
NPI 1053473884

Malcolm Louis Wallace is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Malcolm Louis Wallace practices in San Francisco, CA. The NPI Number for Malcolm Louis Wallace is 1053473884 and holds a License No. (California).

The current practice location address for Malcolm Louis Wallace is 982 Mission St, San Francisco, CA and can be reached out via phone at 415-597-8000.

Location: 982 Mission St, San Francisco, CA, 94602-1264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053473884
Provider Name
Malcolm Louis Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
982 Mission St, San Francisco, CA, 94602-1264
Phone Number
415-597-8000
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
982 Mission St
City
San Francisco
State
California
Zip
94103-2911
Phone Number
415-597-8000
Fax Number
person
Provider Business Mailing Address Details
Address
982 Mission St
City
San Francisco
State
California
Zip
94103-2911
Phone Number
415-597-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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