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

Latrina Wallace

Individual provider Counselor · NPI 1124581327

Latrina Wallace is a Counselor in Barstow, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
7

Practice location Address checks out

312 Grove Ave
Barstow, CA 92311-5449
Phone: (443) 891-4970
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Health Educator Taxonomy 174H00000X
Rehabilitation Counselor Taxonomy 225C00000X
Adult Companion Taxonomy 372600000X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1124581327
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2019
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address312 Grove Ave, Barstow, CA 92311-5449

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