person
David Wallace
Counselor in Los Angeles, California
NPI 1114602604

David Wallace is a Counselor based in Los Angeles, CA. David Wallace practices in Los Angeles, CA. The NPI Number for David Wallace is 1114602604 and holds a License No. (California).

The current practice location address for David Wallace is 155 Bimini Pl, Los Angeles, CA and can be reached out via phone at 213-388-5423.

Location: 155 Bimini Pl, Los Angeles, CA, 90004-5902
person
Provider Profile Details
NPI Number
1114602604
Provider Name
David Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
155 Bimini Pl, Los Angeles, CA, 90004-5902
Phone Number
213-388-5423
Fax Number
Provider Enumeration Date
06/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 Bimini Pl
City
State
Zip
90004-5902
Phone Number
213-388-5423
Fax Number
person
Provider Business Mailing Address Details
Address
155 Bimini Pl
City
State
Zip
90004-5902
Phone Number
213-388-5423
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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