LINDSAY MICHELLE WALLACE

ANAHEIM, CA
NPI1225315476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-11-15
Last Update Date2011-11-15
Business Address
Miss LINDSAY MICHELLE WALLACE RAS
321 N STATE COLLEGE BLVD
ANAHEIM, CA 92806-2915
Phone number: 714-687-0077
Mailing Address
Miss LINDSAY MICHELLE WALLACE RAS
17279 MCFADDEN AVE APT A
TUSTIN, CA 92780-5577
Phone number: 562-243-5164