Ranita J Wallace
NPI #1043841042 in Salisbury, North Carolina
Provider Information
- NPI Number
- 1043841042
- Entity Type
- Individual
- Name
- Ranita J Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 29, 2020
- Last Updated
- Jun 22, 2021
Practice Location
- Address
- 1504 JAKE ALEXANDER BLVD W
- City
- Salisbury
- State
- North Carolina
- ZIP Code
- 28147-1213
- Phone
- (704) 645-8539
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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