Angela Wallace, MFT #45450

NPI 1417452731 · on the registry since 2018 · sole proprietor

Practice

Address: 554 S San Vicente Blvd Ste 200
Los Angeles, CA 90048
Phone: (310) 862-4668
Organisation at this address: Jill Donnerstag, Mft
Angela K Wallace, Mft
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California