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Mary Wallace
Psychiatric/Mental Health Registered Nurse in Half Moon Bay, California
NPI 1639297021

Mary Wallace is a Psychiatric/Mental Health Registered Nurse based in Half Moon Bay, CA and is specialized in Psychiatric/Mental Health. Mary Wallace practices in Half Moon Bay, CA. The NPI Number for Mary Wallace is 1639297021 and holds a License No. MFC31243 (California).

The current practice location address for Mary Wallace is 225 Cabrillo Hwy S, Half Moon Bay, CA and can be reached out via phone at 650-573-3724 and via fax at 650-726-4963.

Location: 225 Cabrillo Hwy S, Half Moon Bay, CA, 94019-8200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639297021
Provider Name
Mary Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
225 Cabrillo Hwy S, Half Moon Bay, CA, 94019-8200
Phone Number
650-573-3724
Fax Number
650-726-4963
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
225 Cabrillo Hwy S
City
Half Moon Bay
State
California
Zip
94019-8200
Phone Number
650-573-3724
Fax Number
650-726-4963
person
Provider Business Mailing Address Details
Address
225 Cabrillo Hwy S
City
Half Moon Bay
State
California
Zip
94019-8200
Phone Number
650-573-3724
Fax Number
650-726-4963
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
219605 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
MFC31243 (California)
Definition
Definition to come...
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