Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK WALLACE
ActivePATRICK WALLACE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN DIEGO, California. NPI 1376184408 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN DIEGO, CA
Registration Details
- NPI Number
- 1376184408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2019 (6.8437285035081 yrs)
- Last Updated
- Sep 30, 2019
Practice Information
- Address
-
4104 DELTA STSAN DIEGO, CA, 921134113Browse CA providers · Browse ZIP 92113
- Phone
- 6192640141
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. DEBRA P, DEANE | M.A | 1487745204 |
| ALYCIA L CARDONA | — | 1003999269 |
| MS. LORI BETH SECORD | — | 1497816227 |
| MS. KATE ANN PHILLIPS | CADC1 | 1093852261 |
| MS. LINDA FAYE COCHRAN-JOHNSON | — | 1235272436 |
| MR. JOHN K KUA III | CAARR | 1437288446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.