MS. Melany A Wallace
NPI #1003117284 in Long Beach, California
Provider Information
- NPI Number
- 1003117284
- Entity Type
- Individual
- Name
- MS. Melany A Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 4, 2010
- Last Updated
- Nov 4, 2010
Practice Location
- Address
- 1601 E 10TH ST
- City
- Long Beach
- State
- California
- ZIP Code
- 90813-5035
- Phone
- (562) 218-3639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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