| Connie Wallae | |
|
1706 Chester Ave Suite 340 Bakersfield CA 93301-5242 | |
| (661) 205-1522 | |
| (661) 873-0515 |
| Full Name | Connie Wallae |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1706 Chester Ave, Bakersfield, California |
| Authorized Official Name and Position | Connie Wallace (MFT) |
| Authorized Official Contact | 6612051522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Wallae 1706 Chester Ave Suite 340 Bakersfield CA 93301-5242 Ph: (661) 205-1522 | Connie Wallae 1706 Chester Ave Suite 340 Bakersfield CA 93301-5242 Ph: (661) 205-1522 |
| NPI Number | 1184644395 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184644395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 40616 (California) | Primary |
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