Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Renee Wallace

Individual provider Mental Health Counselor · NPI 1750013330

Katherine Renee Wallace is a Mental Health Counselor in Stockton, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-0103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1750013330
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

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