CAROLE WALLACE - NPI 1316468523 - Counselor in San Luis Obispo, CA

Q: What is Carole Wallace's NPI number?

The NPI number for Carole Wallace is 1316468523. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Q: What is Carole Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Carole Wallace was last updated on June 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Carole Wallace NPPES

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

CAROLE WALLACE (NPI 1316468523) is an individual mental health provider in San Luis Obispo, California and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1316468523

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCAROLE WALLACE

Location Address784 HIGH STSan Luis Obispo, CA 93401-5243

Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 540-6500 · Fax (805) 540-6501

Phone(805) 540-6500

Fax(805) 540-6501

Sole ProprietorNo

Enumeration DateJune 28, 2017

✔ NPI 1316468523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

784 HIGH ST, San Luis Obispo, CA 93401

Open in Google Maps ↗

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.

RAYMOND SAINT TAVAREZ

Counselor (Mental Health)