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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CAROL L WALLACE, MA, LMFT

Active Sole Proprietor

MRS. CAROL L WALLACE, MA, LMFT is a Marriage & Family Therapist healthcare provider located in ELK GROVE, California. NPI 1912022492 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · ELK GROVE, CA

Registration Details

NPI Number
1912022492
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2007 (19.425758557027 yrs)
Last Updated
Jun 3, 2018
License
MFC48746 (CA)
Sole Proprietor
Yes

Practice Information

Address
2376 MARITIME DR
SUITE 200
ELK GROVE, CA, 95758
Browse CA providers · Browse ZIP 95758
Phone
9165315647
Fax
9164053470
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in ELK GROVE, CA

Name Credential NPI
MS. DAPHNE MARIE ROBICHAUD MFT 1396761037
SABRENA JEANETTE SWAIN LMFT 1649291170
MEREDITH KELLY RICHARDS MFT 1508872730
DR. STEVE ARNOLD MFT, PH.D. 1477560332
HEATHER JOHNSON LMFT 1922017334
TONY SAANSENG LEE LMFT 1295745354
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.