Wallace, Connie J
Wallace, Connie J is an sole proprietor health care provider with primary practice located at 1412 17Th St # 352 , Bakersfield CA 93301-5211. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wallace, Connie J can be contacted via phone (661) 205-1522.Contact Information
Primary practice address
1412 17Th St # 352
Bakersfield CA 93301-5211
Phone: (661) 205-1522
Fax: (661) 872-3247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | MFC40616 | California |
Profile Details
| NPI number | 1861588071 |
|---|---|
| LBN Legal business name | Wallace, Connie J |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Aug 12th, 2010 - about 14 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.
Popular Providers
-
Huang, Karin
5121 Stockdale Hwy , Bakersfield CA 93309-2656 -
Marler, Nahtanha P
820 34Th St Ste 202 , Bakersfield CA 93301-2268 -
Mueller, Sunny Michele
9530 Hageman Rd Ste B174 , Bakersfield CA 93312-3959 -
Padilla, Jesus E.
4551 California Ave Apt. 5, Bakersfield CA 93309-1121 -
Pratt, Kenneth Wayne
17695 Industrial Farm Rd , Bakersfield CA 93308-9520 -
Kemp, Javon
2151 College Ave , Bakersfield CA 93305-4113 -
Holmes, Jackie
9711 Holland St , Bakersfield CA 93312-2772 -
Sill, Eugenie Marie
3300 Truxtun Ave , Bakersfield CA 93301-3137