person
Mrs. Connie J Wallace, MFT
Professional Counselor in Bakersfield, California
NPI 1861588071

Connie J Wallace is a Professional Counselor based in Bakersfield, CA and is specialized in Professional. Connie J Wallace practices in Bakersfield, CA and has the professional credentials of MFT. The NPI Number for Connie J Wallace is 1861588071 and holds a License No. MFC40616 (California).

The current practice location address for Connie J Wallace is 1412 17Th St # 352, Bakersfield, CA and can be reached out via phone at 661-205-1522 and via fax at 661-872-3247. You can also correspond with Connie J Wallace through the mailing address at 1412 17TH ST # 352, BAKERSFIELD, CA - 93301-5211 (mailing address contact number: 661-205-1522).

Location: 1412 17Th St # 352, Bakersfield, CA, 93301-5211
person
Provider Profile Details
NPI Number
1861588071
Provider Name
Connie J Wallace
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
1412 17Th St # 352, Bakersfield, CA, 93301-5211
Phone Number
661-205-1522
Fax Number
661-872-3247
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1412 17Th St # 352
City
State
Zip
93301-5211
Phone Number
661-205-1522
Fax Number
661-872-3247
person
Provider Business Mailing Address Details
Address
1412 17Th St # 352
City
State
Zip
93301-5211
Phone Number
661-205-1522
Fax Number
661-872-3247
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MFC40616 (California)
Definition
Definition to come...
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