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TALLESA WALD SUDCC
NPI 1932607157
Counselor - Addiction (Substance Use Disorder) in Richmond, CA

Active since January 23, 2018
12960 SAN PABLO AVE, RICHMOND, CA 94805(510) 215-2280 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tallesa Wald Sudcc NPPES

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

TALLESA WALD SUDCC (NPI 1932607157) is an individual addiction (substance use disorder) provider in Richmond, California, licensed in California (17306) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1932607157
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTALLESA WALDCredential: SUDCC
Location Address12960 SAN PABLO AVERichmond, CA 94805-1307
Mailing Address12960 San Pablo AveRichmond, CA 94805-1307 · (510) 215-2280
Phone(510) 215-2280
Sole ProprietorNo
Enumeration DateJanuary 23, 2018
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1932607157 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 · 17306
12960 SAN PABLO AVE, Richmond, CA 94805
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN JOSE BOLANOS
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
DONNA MARIE YOURY
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
UJMA FAMILY RECOVERY SERVICES
Community/Behavioral Health
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
SHYRA D'ANN JACKSON
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
BERNICE WIVAGG
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
CHELSEY ELIZABETH CARDENAS REYNOLDS SURDC
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
EDWIN JAMES MACCASKIE AOD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 236-3139
LARON WILSON
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2800

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 Tallesa Wald's NPI number?

The NPI number for Tallesa Wald is 1932607157. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Tallesa Wald located?

Tallesa Wald practices at 12960 San Pablo Ave, Richmond, CA 94805. The listed phone number is (510) 215-2280.

What is Tallesa Wald'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 Tallesa Wald was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.