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:
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Health care specialties

SpecialtyCodeLicense #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 16 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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