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Deborah Wallace
Mental Health Counselor in West Sacramento, California
NPI 1194251173

Deborah Wallace is a Mental Health Counselor based in Fairfield, CA and is specialized in Mental Health. Deborah Wallace practices in West Sacramento, CA. The NPI Number for Deborah Wallace is 1194251173 and holds a License No. (California).

The current practice location address for Deborah Wallace is 3050 Beacon Blvd Ste 103, West Sacramento, CA and can be reached out via phone at 916-462-3100.

Location: 3050 Beacon Blvd Ste 103, West Sacramento, CA, 94533-5702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194251173
Provider Name
Deborah Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
3050 Beacon Blvd Ste 103, West Sacramento, CA, 94533-5702
Phone Number
916-462-3100
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3050 Beacon Blvd Ste 103
City
West Sacramento
State
California
Zip
95691-3467
Phone Number
916-462-3100
Fax Number
person
Provider Business Mailing Address Details
Address
3050 Beacon Blvd Ste 103
City
West Sacramento
State
California
Zip
95691-3467
Phone Number
916-462-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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