Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN BARRINGTON WALLACE, RADT
ActiveEVAN BARRINGTON WALLACE, RADT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN DIEGO, California. NPI 1497226229 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN DIEGO, CA
Registration Details
- NPI Number
- 1497226229
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2018 (7.6940861462593 yrs)
- Last Updated
- Dec 18, 2025
- License
-
A053340123 (CA)
Practice Information
- Address
-
2980 CEDAR STSAN DIEGO, CA, 921021515Browse CA providers · Browse ZIP 92102
- Phone
- 6192607370
- Fax
- 6192391817
- 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.