Connie Wallae

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 40616 Issued in CA

Legal business name

CONNIE WALLAE

Practice address

1706 Chester Ave
Suite 340
Bakersfield, CA 93301-5242

Phone

(661) 205-1522

Fax

(661) 873-0515

NPI assigned

Jul 20, 2006

Last updated

Aug 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Connie Wallace, MFTNPI 1861588071

Title

MFT

Phone

(661) 205-1522

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie J Wallace, MFT

  • Professional Counselor
  • Bakersfield, CA
  • NPI 1861588071
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1184644395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 CHESTER AVE",
            "address_2": "SUITE 340",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015242",
            "telephone_number": "661-205-1522",
            "fax_number": "661-873-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 CHESTER AVE",
            "address_2": "SUITE 340",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015242",
            "telephone_number": "661-205-1522",
            "fax_number": "661-873-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE WALLAE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "MFT",
        "authorized_official_telephone_number": "661-205-1522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Conklin, SLP-A
• Alexis Conley, DPM
• Leon Conley
• Anna Maria Myers Connamacher
• Eric S Conner, MD
• Connie-1 Congregate Facility, LLC
• Julia Connolly, RN, PHN
• Conquer Counseling Center LLC
• Conscious Connections Therapy, a Professional Corporation, Licensed Clinical Social Worker, Lynzie G
• Kayla Consiglio, PHARMD

• Marriage & Family Therapist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.