person
Mr. Richard J. Wallace, MASTER
Mental Health Counselor in Berkeley, California
NPI 1326199043

Richard J. Wallace is a Mental Health Counselor based in Berkeley, CA and is specialized in Mental Health. Richard J. Wallace practices in Berkeley, CA and has the professional credentials of MASTER. The NPI Number for Richard J. Wallace is 1326199043 and holds a License No. (California).

The current practice location address for Richard J. Wallace is 1930 Stuart St, Berkeley, CA and can be reached out via phone at 650-558-5304.

Location: 1930 Stuart St, Berkeley, CA, 94703-2215
person
Provider Profile Details
NPI Number
1326199043
Provider Name
Richard J. Wallace
Credential
MASTER
Provider Entity Type
Individual
Gender
Male
Address
1930 Stuart St, Berkeley, CA, 94703-2215
Phone Number
650-558-5304
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1930 Stuart St
City
State
Zip
94703-2215
Phone Number
650-558-5304
Fax Number
person
Provider Business Mailing Address Details
Address
1930 Stuart St
City
State
Zip
94703-2215
Phone Number
650-558-5304
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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