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

MS. Sommer Sade Wallace, MDIV

Individual provider Counselor · NPI 1083267751

MS. Sommer Sade Wallace, MDIV is a Counselor in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4

Practice location Address checks out

3491 Kurtz St Ste 150
San Diego, CA 92110-4430
Phone: (619) 320-2404
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1083267751
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIV
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

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