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BRIAN WALLACE
NPI 1437879418
Counselor - Addiction (Substance Use Disorder) in Upland, CA

Active since August 31, 2022
239 W 9TH ST, UPLAND, CA 91786(909) 920-5102 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Wallace NPPES

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

BRIAN WALLACE (NPI 1437879418) is an individual addiction (substance use disorder) provider in Upland, California and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1437879418
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRIAN WALLACE
Location Address239 W 9TH STUpland, CA 91786-5979
Mailing Address762 North RdSan Bernardino, CA 92404-2439 · (714) 595-5314
Phone(909) 920-5102
Sole ProprietorYes
Enumeration DateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
✔ NPI 1437879418 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
239 W 9TH ST, Upland, CA 91786
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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.

MICHAEL THOMPSON
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
VICTOR GOMEZ
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
TOREY RANSOM CADC II
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
MAHMOUD BENSUFIA
Peer Specialist
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (714) 797-1644
CLIFFORD RAY GARRETT
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
MICHAEL LAURENCE SANDS
Peer Specialist
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
DARREN SARDIN
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
JOHN MORGAN
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121

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 Brian Wallace's NPI number?

The NPI number for Brian Wallace is 1437879418. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Brian Wallace located?

Brian Wallace practices at 239 W 9th St, Upland, CA 91786. The listed phone number is (909) 920-5102.

What is Brian 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 Brian Wallace was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.