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Audra Wallace
Professional Counselor in Carlsbad, California
NPI 1841894359

Audra Wallace is a Professional Counselor based in Carlsbad, CA and is specialized in Professional. Audra Wallace practices in Carlsbad, CA. The NPI Number for Audra Wallace is 1841894359 and holds a License No. (California).

The current practice location address for Audra Wallace is 6183 Paseo Del Norte Ste 140, Carlsbad, CA and can be reached out via phone at 760-942-8663.

Location: 6183 Paseo Del Norte Ste 140, Carlsbad, CA, 92011-1151
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Provider Profile Details
NPI Number
1841894359
Provider Name
Audra Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
6183 Paseo Del Norte Ste 140, Carlsbad, CA, 92011-1151
Phone Number
760-942-8663
Fax Number
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6183 Paseo Del Norte Ste 140
City
State
Zip
92011-1151
Phone Number
760-942-8663
Fax Number
person
Provider Business Mailing Address Details
Address
6183 Paseo Del Norte Ste 140
City
State
Zip
92011-1151
Phone Number
760-942-8663
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(California)
Definition
Definition to come...
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