National Provider Identifier
Darius Isiahy Wallace
Darius Isiahy Wallace is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Salinas, CA and a listed phone number of (831) 424-6655.
Source: public NPPES record, last updated May 17, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1093487357
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 04, 2021
- Last Updated
- May 17, 2024
Practice Location
- 427 Pajaro St Ste 4
- Salinas, CA 93901-3459
Phone: (831) 424-6655
Mailing Address
- 3929, 104 Walnut Ave
- Santa Cruz, CA 95060
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Darius Isiahy Wallace is a Salinas, California-based addiction counselor. His public CMS profile lists a California registration and identifies his practice focus as substance-use disorder counseling.
Full Record
- NPI
- 1093487357
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Darius
- Middle Name
- Isiahy
- Mailing Street Address
- 3929, 104 Walnut Ave
- Mailing City
- Santa Cruz
- Mailing State
- CA
- Mailing ZIP Code
- 95060
- Mailing Country
- US
- Mailing Phone
- (831) 243-8333
- Practice Street Address
- 427 Pajaro St Ste 4
- Practice City
- Salinas
- Practice State
- CA
- Practice ZIP Code
- 93901-3459
- Practice Country
- US
- Practice Phone
- (831) 424-6655
- Practice Fax
- (831) 424-9717
- Enumeration Date
- October 04, 2021
- Last Updated
- May 17, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 07, 2024
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)