Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDY RAE MARIE WALLACE
Active Sole ProprietorBRANDY RAE MARIE WALLACE is a Marriage & Family Therapist healthcare provider located in YUCCA VALLEY, California. NPI 1457833428 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · YUCCA VALLEY, CA
Registration Details
- NPI Number
- 1457833428
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2018 (7.7589685537761 yrs)
- Last Updated
- Sep 5, 2018
- License
-
AMFT108839 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
56970 YUCCA TRL STE 104YUCCA VALLEY, CA, 922847911Browse CA providers · Browse ZIP 92284
- Phone
- 7603690294
- Fax
- 7603690295
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in YUCCA VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD BRIAN GRAY | LMFT | 1992894984 |
| JULIEANN TAMMINGA | — | 1548329626 |
| MS. SUSAN F LILLY | M.S., MFT | 1437296266 |
| MRS. CLAIRE LOUISE KARP | LMFT | 1063551356 |
| DEBORAH ANN CARTER | — | 1427197680 |
| CLEMENT MILES LUCERO | M.A., MFT, INTERN | 1376688077 |
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.