Thomas Wallace Jr.
Thomas Wallace Jr. is an Addiction (Substance Use Disorder) Counselor in Visalia, California. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1646 S Court StVisalia, CA 93277-4962
Phone: (559) 625-8890
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1275945354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 23, 2014 |
| Last updated in NPPES | March 7, 2016 |
| Mailing address | 1646 S Court St, Visalia, CA 93277-4962 |
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