Wallace, Deborah

Wallace, Deborah is an individual health care provider with primary practice located at 3050 Beacon Blvd Ste 103 , West Sacramento CA 95691-3467. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wallace, Deborah can be contacted via phone (916) 462-3100.

Contact Information

Primary practice address
3050 Beacon Blvd Ste 103 West Sacramento CA 95691-3467
Phone: (916) 462-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1194251173
LBN Legal business name Wallace, Deborah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated May 26th, 2022 - about 2 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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