person
Alycia Grace Wallace
Peer Specialist in Orange, California
NPI 1255975801

Alycia Grace Wallace is a Peer Specialist based in Orange, CA. Alycia Grace Wallace practices in Orange, CA. The NPI Number for Alycia Grace Wallace is 1255975801 and holds a License No. (California).

The current practice location address for Alycia Grace Wallace is 401 S Tustin St Bldg C, Orange, CA and can be reached out via phone at 714-361-4860 and via fax at 714-361-4861. You can also correspond with Alycia Grace Wallace through the mailing address at 401 S TUSTIN ST BLDG C, ORANGE, CA - 92866-2550 (mailing address contact number: 714-361-4860).

Location: 401 S Tustin St Bldg C, Orange, CA, 92866-2550
person
Provider Profile Details
NPI Number
1255975801
Provider Name
Alycia Grace Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 S Tustin St Bldg C, Orange, CA, 92866-2550
Phone Number
714-361-4860
Fax Number
714-361-4861
Provider Enumeration Date
11/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 S Tustin St Bldg C
City
State
Zip
92866-2550
Phone Number
714-361-4860
Fax Number
714-361-4861
person
Provider Business Mailing Address Details
Address
401 S Tustin St Bldg C
City
State
Zip
92866-2550
Phone Number
714-361-4860
Fax Number
714-361-4861
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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