person
Patrick Wallace
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1376184408

Patrick Wallace is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Patrick Wallace practices in San Diego, CA. The NPI Number for Patrick Wallace is 1376184408 and holds a License No. (California).

The current practice location address for Patrick Wallace is 4104 Delta St, San Diego, CA and can be reached out via phone at 619-264-0141.

Location: 4104 Delta St, San Diego, CA, 92113-4113
person
Provider Profile Details
NPI Number
1376184408
Provider Name
Patrick Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
4104 Delta St, San Diego, CA, 92113-4113
Phone Number
619-264-0141
Fax Number
Provider Enumeration Date
09/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4104 Delta St
City
State
Zip
92113-4113
Phone Number
619-264-0141
Fax Number
person
Provider Business Mailing Address Details
Address
4104 Delta St
City
State
Zip
92113-4113
Phone Number
619-264-0141
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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