Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CONNIE J WALLACE, MFT
Active Sole ProprietorMRS. CONNIE J WALLACE, MFT is a Professional Counselor healthcare provider located in BAKERSFIELD, California. NPI 1861588071 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BAKERSFIELD, CA
Registration Details
- NPI Number
- 1861588071
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2006 (19.674200062628 yrs)
- Last Updated
- Aug 12, 2010
- License
-
MFC40616 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1412 17TH ST # 352BAKERSFIELD, CA, 933015211Browse CA providers · Browse ZIP 93301
- Phone
- 6612051522
- Fax
- 6618723247
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BAKERSFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| MR. JESUS E. PADILLA | B.A | 1306035480 |
| ROSIE STEVENS WITT | — | 1588991202 |
| MS. ALLISSA DIANE LOPEZ | M.A., LPCC 5695 | 1952677783 |
| MS. SUNNY MICHELE MUELLER | LPCC | 1790043495 |
| MR. JAVON KEMP SR. | MH COUNSELOR | 1659611234 |
| MARI BURGESS | MA | 1194146217 |
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.