1. Home
  2. Directory
  3. California
  4. Fresno
  5. Counselor
  6. NPI Profile

MELISSA SUE WALLACE SUDCC
NPI 1881189181
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since June 28, 2018
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706(559) 492-1373 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2022, Aug 19, 2022, Jan 5, 2021 and 1 more (4 updates tracked since 2018).

About Melissa Sue Wallace Sudcc NPPES

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

MELISSA SUE WALLACE SUDCC (NPI 1881189181) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (9478) and active in the NPI registry since June 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881189181
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMELISSA SUE WALLACECredential: SUDCC
Location Address2445 W WHITES BRIDGE AVEFresno, CA 93706-1225
Mailing Address2445 W Whites Bridge AveFresno, CA 93706-1225 · (559) 264-5096
Phone(559) 492-1373
Sole ProprietorNo
Enumeration DateJune 28, 2018
Last NPPES UpdateSeptember 16, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1881189181 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 · 9478
2445 W WHITES BRIDGE AVE, Fresno, CA 93706
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1823 Gateway Center WaySan Diego, CA 92102-4541 · Phone (619) 515-2300
Location 23575 Pershing AveSan Diego, CA 92104-3413 · Phone (161) 929-4452

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.

MARTHA ELENA ALCAZAR CAADE 20584
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
RAYMOND HOLM CADTP 21894
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
GLORIA GARZA
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
ROY PEREZ CADTP 18298
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
MR. BRYAN CHRISTOPHER BARKER CAADE 2291201
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 265-5096
JAMES REYES SR. CADTP 19732
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
WILLIAM LUJANO SUDRC 22896
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 264-5096
ROLAND DAVID KING
Counselor (Addiction (Substance Use Disorder))
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706
Fresno County (559) 485-6364

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 Melissa Wallace's NPI number?

The NPI number for Melissa Wallace is 1881189181. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Melissa Wallace located?

Melissa Wallace practices at 2445 W Whites Bridge Ave, Fresno, CA 93706. The listed phone number is (559) 492-1373.

What is Melissa 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 Melissa Wallace was last updated on September 16, 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.