MR. Andrew Anthony Wallace is an addiction (substance use disorder) counselor in Colton, CA. MR. Andrew Anthony Wallace NPI is 1174856587. 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:
1076 SANTO ANTONIO DR
SUITE B
COLTON, CA
ZIP 92324-103
Phone: (909) 433-9824
Fax: (909) 433-9830
The enumeration date for this NPI number is 9/16/2009 and was last updated on 9/16/2009.