Wallace, Brandy Rae Marie

Wallace, Brandy Rae Marie is an sole proprietor health care provider with primary practice located at 56970 Yucca Trl Ste 104 , Yucca Valley CA 92284-7911. 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, Brandy Rae Marie can be contacted via phone (760) 369-0294.

Contact Information

Primary practice address
56970 Yucca Trl Ste 104 Yucca Valley CA 92284-7911
Phone: (760) 369-0294
Fax: (760) 369-0295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT108839 California

Profile Details

NPI number 1457833428
LBN Legal business name Wallace, Brandy Rae Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2018
Last updated Sep 5th, 2018 - about 8 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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