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MR. ANDREW ANTHONY WALLACE SR.
NPI 1174856587
Counselor - Addiction (Substance Use Disorder) in Colton, CA

Active since September 16, 2009
1076 SANTO ANTONIO DR, SUITE B, COLTON, CA 92324(909) 433-9824(909) 433-9830 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Andrew Anthony Wallace Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREW ANTHONY WALLACE SR. (NPI 1174856587) is an individual addiction (substance use disorder) provider in Colton, California, licensed in California (RS9874) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1174856587
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ANDREW ANTHONY WALLACE SR.
Location Address1076 SANTO ANTONIO DR, SUITE BColton, CA 92324-8103
Mailing Address1076 Santo Antonio Dr, Suite BColton, CA 92324-8103 · (909) 433-9824 · Fax (909) 433-9830
Phone(909) 433-9824
Fax(909) 433-9830
Sole ProprietorNo
Enumeration DateSeptember 16, 2009
✔ NPI 1174856587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · RS9874
1076 SANTO ANTONIO DR, Colton, CA 92324
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NILA JEAN GEHRETT
Counselor (Addiction (Substance Use Disorder))
1076 SANTO ANTONIO DR
COLTON, CA 92324
San Bernardino County (909) 433-9824
CENTRAL VALLEY REGIONAL RECOVERY CENTER
Community/Behavioral Health
1076 SANTO ANTONIO DR
COLTON, CA 92324
San Bernardino County (909) 433-9824
MARLENE ALVAREZ
Counselor (Addiction (Substance Use Disorder))
1076 SANTO ANTONIO DR, SUITE B
COLTON, CA 92324
San Bernardino County (909) 433-9824
SHARON LYNN YAW RRW
Counselor (Addiction (Substance Use Disorder))
1076 SANTO ANTONIO DR, SUITE B
COLTON, CA 92324
San Bernardino County (909) 433-9824
MR. THOMAS MILTON BELL
Counselor (Addiction (Substance Use Disorder))
1076 SANTO ANTONIO DR, SUITE B
COLTON, CA 92324
San Bernardino County (909) 433-9824
MRS. LAURA ADRIANA PLANT
Counselor (Addiction (Substance Use Disorder))
1076 SANTO ANTONIO DR, B
COLTON, CA 92324
San Bernardino County (909) 433-9824
LORENA MARSHALL
Counselor (Addiction (Substance Use Disorder))
1076 SANTO ANTONIO DR, SUITE B
COLTON, CA 92324
San Bernardino County (909) 433-9824
MISS JULIANNE MARIE CATREN
Counselor (Addiction (Substance Use Disorder))
1076 SANTO ANTONIO DR
COLTON, CA 92324
San Bernardino County (909) 433-9824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Wallace's NPI number?

The NPI number for Andrew Wallace is 1174856587. It was assigned to this individual provider in the NPPES registry on September 16, 2009.

Where is Andrew Wallace located?

Andrew Wallace practices at 1076 Santo Antonio Dr Suite B, Colton, CA 92324. The listed phone number is (909) 433-9824.

What is Andrew Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Andrew Wallace was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.