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

Patrick Wallace

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376184408

Patrick Wallace is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

4104 Delta St
San Diego, CA 92113-4113
Phone: (619) 264-0141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1376184408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2019
Last updated in NPPESSeptember 30, 2019

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