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

Individual provider Marriage & Family Therapist · NPI 1710247812

Mrs. Susan Victoria Wallace, CLINICIAN is a Marriage & Family Therapist in Riverside, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012
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Practice location Address checks out

3576 Arlington Ave Ste 106
Riverside, CA 92506-3907
Phone: (951) 788-5905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 255 N D St Ste 412, San Bernardino, CA 92401-1715 — (951) 788-5905

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFC45089 (CA)

Record details

NPI number1710247812
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLINICIAN
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

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