SearchCalifornia101YP2500X

Connie Wallace, MFT

NPI 1861588071 · on the registry since 2006 · sole proprietor

Practice

Address
1412 17th St # 352
Bakersfield, CA 93301
Phone
(661) 205-1522
Fax
(661) 872-3247

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-08-12

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