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MR. DIVIER J WALLACE M.A./MFTI
NPI 1750674388
Counselor in San Leandro, CA

Active since May 16, 2011
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577(510) 924-0548 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Divier J Wallace M.a./mfti NPPES

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

MR. DIVIER J WALLACE M.A./MFTI (NPI 1750674388) is an individual counselor in San Leandro, California and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1750674388
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. DIVIER J WALLACECredential: M.A./MFTI
Location Address400 ESTUDILLO AVE STE 100San Leandro, CA 94577-4962
Mailing Address400 Estudillo Ave Ste 100San Leandro, CA 94577-4962 · (510) 924-0548
Phone(510) 924-0548
Sole ProprietorNo
Enumeration DateMay 16, 2011
Last NPPES UpdateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1750674388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 61914 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
400 ESTUDILLO AVE STE 100, San Leandro, CA 94577
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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.

MAREN ELIZABETH TROTTER ASW
Counselor (Mental Health)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
ALEXIS ELYSE SANCHEZ
Social Worker (Clinical)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
HAO-YUN CHU
Student in an Organized Health Care Education/Training Program
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
MS. JENNIFER RAE CASTELLO MSW, LCSW
Social Worker (Clinical)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
CINDY TERESA GUTIERREZ
Community Health Worker
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
EMMA MARTINEZ
Student in an Organized Health Care Education/Training Program
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
MANDY RENE RIVAS-CROSS ASW 123267
Social Worker
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (408) 807-6787
IVVETTE MORA ESTRADA
Case Manager/Care Coordinator
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548

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 Divier Wallace's NPI number?

The NPI number for Divier Wallace is 1750674388. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Divier Wallace located?

Divier Wallace practices at 400 Estudillo Ave Ste 100, San Leandro, CA 94577. The listed phone number is (510) 924-0548.

What is Divier Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Divier Wallace was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.