MICHELLE WALLACE

LONG BEACH, CA
NPI1356501241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-06-13
Last Update Date2008-06-13
Business Address
-- MICHELLE WALLACE
100 E MARKET ST
LONG BEACH, CA 90805-5924
Phone number: 562-428-4222
Mailing Address
-- MICHELLE WALLACE
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number:
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