DARIUS ISIAHY WALLACE

SALINAS, CA
NPI1093487357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1408181020)
Enumeration Date2021-10-04
Last Update Date2024-05-17
Business Address
DARIUS ISIAHY WALLACE
427 PAJARO ST STE 4
SALINAS, CA 93901-3459
Phone number: 831-424-6655
Mailing Address
DARIUS ISIAHY WALLACE
3929, 104 WALNUT AVE
SANTA CRUZ, CA 95060
Phone number: 831-243-8333
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