Tallesa Wald, SUDCC
NPI #1932607157 in Richmond, California
Provider Information
- NPI Number
- 1932607157
- Entity Type
- Individual
- Name
- Tallesa Wald, SUDCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDCC
- Enumeration Date
- Jan 23, 2018
- Last Updated
- Jun 13, 2024
Practice Location
- Address
- 12960 SAN PABLO AVE
- City
- Richmond
- State
- California
- ZIP Code
- 94805-1307
- Phone
- (510) 215-2280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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