MR. Divier J Wallace, M.A./MFTI is a counselor in San Leandro, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Divier J Wallace, M.A./MFTI NPI is 1750674388. 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:
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA
ZIP 94577-962
Phone: (510) 924-0548
The enumeration date for this NPI number is 5/16/2011 and was last updated on 6/17/2021.