Audra Wallace
Audra Wallace is a Professional Counselor in Carlsbad, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
6183 Paseo Del Norte Ste 140Carlsbad, CA 92011-1151
Phone: (760) 942-8663
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X (CA) |
|---|
Record details
| NPI number | 1841894359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 24, 2020 |
| Last updated in NPPES | November 24, 2020 |
| Certification date | November 24, 2020 |
| Mailing address | 6183 Paseo Del Norte Ste 140, Carlsbad, CA 92011-1151 |
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