CAROLE WALLACE

SAN LUIS OBISPO, CA
NPI1316468523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-06-28
Last Update Date2017-06-28
Business Address
CAROLE WALLACE
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
Mailing Address
CAROLE WALLACE
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500