JUSTIN MATTHEW WALLACE

FRESNO, CA
NPI1417331679
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT95974)
Enumeration Date2015-07-16
Last Update Date2016-11-10
Business Address
-- JUSTIN MATTHEW WALLACE LMFT
1322 E SHAW AVE STE 410
FRESNO, CA 93710-7904
Phone number: 559-226-1316
Mailing Address
-- JUSTIN MATTHEW WALLACE LMFT
1322 E SHAW AVE STE 410
FRESNO, CA 93710-7904
Phone number: 559-226-1316
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