MICHAEL WALLACE

REDWOOD CITY, CA
NPI1225579899
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-03-16
Last Update Date2017-03-16
Business Address
-- MICHAEL WALLACE
500 ALLERTON ST SECOND FLOOR
REDWOOD CITY, CA 94063-1519
Phone number: 650-599-9955
Mailing Address
-- MICHAEL WALLACE
500 ALLERTON ST SECOND FLOOR
REDWOOD CITY, CA 94063
Phone number: 650-599-9955
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