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Thomas Wallace JR.
Addiction (Substance Use Disorder) Counselor in Visalia, California
NPI 1275945354

Thomas Wallace JR. is an Addiction (Substance Use Disorder) Counselor based in Visalia, CA and is specialized in Addiction (Substance Use Disorder). Thomas Wallace JR. practices in Visalia, CA. The NPI Number for Thomas Wallace JR. is 1275945354 and holds a License No. (California).

The current practice location address for Thomas Wallace JR. is 1646 S Court St, Visalia, CA and can be reached out via phone at 559-625-8890.

Location: 1646 S Court St, Visalia, CA, 93277-4962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275945354
Provider Name
Thomas Wallace JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1646 S Court St, Visalia, CA, 93277-4962
Phone Number
559-625-8890
Fax Number
Provider Enumeration Date
05/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1646 S Court St
City
Visalia
State
California
Zip
93277-4962
Phone Number
559-625-8890
Fax Number
person
Provider Business Mailing Address Details
Address
1646 S Court St
City
Visalia
State
California
Zip
93277-4962
Phone Number
559-625-8890
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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