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KATHERINE RENEE WALLACE
NPI 1750013330
Counselor - Mental Health in Stockton, CA

Active since June 30, 2022
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-0103 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Renee Wallace NPPES

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

KATHERINE RENEE WALLACE (NPI 1750013330) is an individual mental health provider in Stockton, California and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1750013330
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE RENEE WALLACE
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address135 W Wyandotte StStockton, CA 95204-5324 · (209) 808-9503
Phone(209) 468-0103
Sole ProprietorNo
Enumeration DateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1750013330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1212 N CALIFORNIA ST, Stockton, CA 95202
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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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

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 Katherine Wallace's NPI number?

The NPI number for Katherine Wallace is 1750013330. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Katherine Wallace located?

Katherine Wallace practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-0103.

What is Katherine Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Katherine Wallace was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.