Brandy Rae Marie Wallace
Brandy Rae Marie Wallace is a Marriage & Family Therapist in Yucca Valley, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
56970 Yucca Trl Ste 104Yucca Valley, CA 92284-7911
Phone: (760) 369-0294
Fax: (760) 369-0295
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence AMFT108839 (CA) |
|---|
Record details
| NPI number | 1457833428 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 5, 2018 |
| Last updated in NPPES | September 5, 2018 |
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