Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE WALLACE
ActiveBRUCE WALLACE is a Mental Health Counselor healthcare provider located in WAIANAE, Hawaii. NPI 1689341679 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WAIANAE, HI
Registration Details
- NPI Number
- 1689341679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2021 (4.9511963747451 yrs)
- Last Updated
- Aug 26, 2021
Practice Information
- Address
-
85-888 FARRINGTON HWYWAIANAE, HI, 967922403Browse HI providers · Browse ZIP 96792
- Phone
- 8086969498
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in WAIANAE, HI
| Name | Credential | NPI |
|---|---|---|
| LAURA CORINNE MAAKESTAD SULLIVAN | M. A., L.M.H.C. | 1649354853 |
| MRS. SHIRLEY J DAVENPORT | MSW | 1396897666 |
| CHARLOTTE M OHIRA | — | 1376710582 |
| RAEDINE W LAVE | — | 1730356957 |
| JONLEE ODANI | — | 1043478613 |
| PAUL H. DOMEN | — | 1861651101 |
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.