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

Tallesa Wald, SUDCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932607157

Tallesa Wald, SUDCC is an Addiction (Substance Use Disorder) Counselor in Richmond, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

12960 San Pablo Ave
Richmond, CA 94805-1307
Phone: (510) 215-2280
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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 · Licence 17306 (CA)

Record details

NPI number1932607157
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCC
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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