Wallace, Vern L

Wallace, Vern L is an individual health care provider with primary practice located at 70 Clove Ct , Oakley CA 94561-4611. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wallace, Vern L can be contacted via phone (925) 890-1289.

Contact Information

Primary practice address
70 Clove Ct Oakley CA 94561-4611
Phone: (925) 890-1289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC23728 California

Profile Details

NPI number 1942342241
LBN Legal business name Wallace, Vern L
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 17 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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