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

Mr. Manuel Parker Wallace, SUDI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477320174

Mr. Manuel Parker Wallace, SUDI is an Addiction (Substance Use Disorder) Counselor in Oxnard, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

2150 N Victoria Ave
Oxnard, CA 93036-7791
Phone: (805) 382-6296
Fax: (805) 382-9487
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1477320174
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDI
Sole proprietorNo
NPI enumeratedDecember 4, 2023
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

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