Brian Wallace, - Counselor in Upland, CA

Brian Wallace, is a Counselor - Addiction (substance Use Disorder) based in Upland, California. Brian Wallace is licensed to practice in California (license number ) and his current practice location is 239 W 9th St, Upland, California. He can be reached at his office (for appointments etc.) via phone at (909) 920-5102.

NPI number for Brian Wallace is 1437879418 and his current mailing address is 762 North Rd, San Bernardino, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437879418.

Contact Information

Brian Wallace,
239 W 9th St,
Upland, CA 91786-5979
(909) 920-5102
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameBrian Wallace
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location239 W 9th St, Upland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437879418
  • Provider Enumeration Date: 08/31/2022
  • Last Update Date: 08/31/2022

Medical Identifiers

Medical identifiers for Brian Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437879418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian Wallace,
762 North Rd,
San Bernardino, CA 92404-2439

Ph: (714) 595-5314
Brian Wallace,
239 W 9th St,
Upland, CA 91786-5979

Ph: (909) 920-5102

Reviews and Comments


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