Search › California › 106H00000X
Carol Wallace, MA, LMFT
NPI 1912022492 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2376 Maritime Dr
Suite 200
Elk Grove, CA 95758 - Phone
- (916) 531-5647
- Fax
- (916) 405-3470
- Organisation at this address
- Change By Coniah Family Counseling, A Professional Corporation
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 8912 Volunteer Ln, Sacramento, CA
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
- 2018-06-03
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