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Dana Wallace
Mental Health Counselor in Oakland, California
NPI 1700037454

Dana Wallace is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Dana Wallace practices in Oakland, CA. The NPI Number for Dana Wallace is 1700037454 and holds a License No. (California).

The current practice location address for Dana Wallace is 4368 Lincoln Ave, Oakland, CA and can be reached out via phone at 510-531-3111.

Location: 4368 Lincoln Ave, Oakland, CA, 94602-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700037454
Provider Name
Dana Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
4368 Lincoln Ave, Oakland, CA, 94602-2529
Phone Number
510-531-3111
Fax Number
Provider Enumeration Date
09/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4368 Lincoln Ave
City
Oakland
State
California
Zip
94602-2529
Phone Number
510-531-3111
Fax Number
person
Provider Business Mailing Address Details
Address
4368 Lincoln Ave
City
Oakland
State
California
Zip
94602-2529
Phone Number
510-531-3111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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