John Nell Wallace
John Nell Wallace is a Counselor in Santa Rosa, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1430 Neotomas AveSanta Rosa, CA 95405-7575
Phone: (707) 565-7460
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1851084966 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 2, 2023 |
| Last updated in NPPES | June 2, 2023 |
| Certification date | June 2, 2023 |
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