Brian Wallace, RADT 1 is an addiction (substance use disorder) counselor in San Diego, CA. Brian Wallace, RADT 1 NPI is 1861939845. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7907 OSTROW ST STE F
SAN DIEGO, CA
ZIP 92111-635
Phone: (858) 300-8282
The enumeration date for this NPI number is 1/27/2017 and was last updated on 9/13/2018.