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
Fax: (916) 405-3470
Website:

Health care specialties

SpecialtyCodeLicense #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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