Wallace, Carol L
Wallace, Carol L is an sole proprietor health care provider with primary practice located at 2376 Maritime Dr Suite 200, Elk Grove CA 95758. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wallace, Carol L can be contacted via phone (916) 531-5647.Contact Information
Primary practice address
2376 Maritime Dr Suite 200
Elk Grove CA 95758
Phone: (916) 531-5647
Fax: (916) 405-3470
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC48746 | California |
Profile Details
NPI number | 1912022492 |
---|---|
LBN Legal business name | Wallace, Carol L |
Credentials | MA, LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 21st, 2007 |
Last updated | Jun 3rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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