person
Evan Barrington Wallace, RADT
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1497226229

Evan Barrington Wallace is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Evan Barrington Wallace practices in San Diego, CA and has the professional credentials of RADT. The NPI Number for Evan Barrington Wallace is 1497226229 and holds a License No. R1321750918 (California).

The current practice location address for Evan Barrington Wallace is 2980 Cedar St, San Diego, CA and can be reached out via phone at 619-260-7370 and via fax at 619-239-1817.

Location: 2980 Cedar St, San Diego, CA, 92102-1515
person
Provider Profile Details
NPI Number
1497226229
Provider Name
Evan Barrington Wallace
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
2980 Cedar St, San Diego, CA, 92102-1515
Phone Number
619-260-7370
Fax Number
619-239-1817
Provider Enumeration Date
12/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2980 Cedar St
City
State
Zip
92102-1515
Phone Number
619-260-7370
Fax Number
619-239-1817
person
Provider Business Mailing Address Details
Address
2980 Cedar St
City
State
Zip
92102-1515
Phone Number
619-260-7370
Fax Number
619-239-1817
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1321750918 (California)
Definition
Definition to come...
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