person
Mr. Manuel Parker Wallace, SUDI
Addiction (Substance Use Disorder) Counselor in Oxnard, California
NPI 1477320174

Manuel Parker Wallace is an Addiction (Substance Use Disorder) Counselor based in Oxnard, CA and is specialized in Addiction (Substance Use Disorder). Manuel Parker Wallace practices in Oxnard, CA and has the professional credentials of SUDI. The NPI Number for Manuel Parker Wallace is 1477320174 and holds a License No. (California).

The current practice location address for Manuel Parker Wallace is 2150 N Victoria Ave, Oxnard, CA and can be reached out via phone at 805-382-6296 and via fax at 805-382-9487.

Location: 2150 N Victoria Ave, Oxnard, CA, 93036-7791
person
Provider Profile Details
NPI Number
1477320174
Provider Name
Manuel Parker Wallace
Credential
SUDI
Provider Entity Type
Individual
Gender
Male
Address
2150 N Victoria Ave, Oxnard, CA, 93036-7791
Phone Number
805-382-6296
Fax Number
805-382-9487
Provider Enumeration Date
12/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2150 N Victoria Ave
City
State
Zip
93036-7791
Phone Number
805-382-6296
Fax Number
805-382-9487
person
Provider Business Mailing Address Details
Address
2150 N Victoria Ave
City
State
Zip
93036-7791
Phone Number
805-382-6296
Fax Number
805-382-9487
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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