MR. Vern L Wallace, LMFT

NPI #1942342241 in Oakley, California

Provider Information

NPI Number: 1942342241
Entity Type: Individual
Name: MR. Vern L Wallace, LMFT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Credential: LMFT
Enumeration Date: Feb 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 70 CLOVE CT
City: Oakley
State: California
ZIP Code: 94561-4611
Phone: (925) 890-1289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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