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BRIAN WALLACE RADT 1
NPI 1861939845
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since January 27, 2017
7907 OSTROW ST STE F, SAN DIEGO, CA 92111(858) 300-8282 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2018, Jan 27, 2017 (2 updates tracked since 2017).

About Brian Wallace Radt 1 NPPES

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

BRIAN WALLACE RADT 1 (NPI 1861939845) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (R1235971116) and active in the NPI registry since January 2017. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1861939845
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRIAN WALLACECredential: RADT 1
Location Address7907 OSTROW ST STE FSan Diego, CA 92111-3635
Mailing Address7907 Ostrow St Ste FSan Diego, CA 92111-3635 · (858) 300-8282
Phone(858) 300-8282
Sole ProprietorNo
Enumeration DateJanuary 27, 2017
Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration
✔ NPI 1861939845 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 · R1235971116
7907 OSTROW ST STE F, San Diego, CA 92111
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Secondary Practice Location 1

Location 17545 Metropolitan DrSan Diego, CA 92108-4402 · Phone (619) 718-9890 ext. 211

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.

KAILA OGLETREE
Student in an Organized Health Care Education/Training Program
7907 OSTROW ST STE F
SAN DIEGO, CA 92111
San Diego County (858) 300-8282
KENDALL STEWART
Student in an Organized Health Care Education/Training Program
7907 OSTROW ST STE F
SAN DIEGO, CA 92111
San Diego County (858) 300-8282
AUBRIE DODGE M.S.W., A.S.W
Social Worker (Clinical)
7907 OSTROW ST STE F
SAN DIEGO, CA 92111
San Diego County (858) 300-8282
CONCEPCION NUBES
Counselor (Mental Health)
7907 OSTROW ST STE F
SAN DIEGO, CA 92111
San Diego County (858) 300-8282
RENAE CANDICE WILLIAMS
Case Manager/Care Coordinator
7907 OSTROW ST STE F
SAN DIEGO, CA 92111
San Diego County (858) 300-8282
DANIEL WINSTON FULLER AMFT
Counselor (Mental Health)
7907 OSTROW ST STE F
SAN DIEGO, CA 92111
San Diego County (858) 300-8282
DIANA L GARCIA GONZALEZ
Counselor (Mental Health)
7907 OSTROW ST STE F
SAN DIEGO, CA 92111
San Diego County (858) 300-8282
MRS. FRIDA GOLDSTEIN-FRIEND
Counselor (Mental Health)
7907 OSTROW ST STE F
SAN DIEGO, CA 92111
San Diego County (858) 300-8282

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 1861939845. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Brian Wallace located?

Brian Wallace practices at 7907 Ostrow St Ste F, San Diego, CA 92111. The listed phone number is (858) 300-8282.

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 September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.