JOANNA LYNN WALLACE - NPI 1093365561 - Counselor in Santa Clara, CA

Q: What is Joanna Wallace's NPI number?

The NPI number for Joanna Wallace is 1093365561. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Q: What is Joanna Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Joanna Wallace was last updated on September 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Joanna Lynn Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOANNA LYNN WALLACE (NPI 1093365561) is an individual counselor in Santa Clara, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1093365561

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJOANNA LYNN WALLACE

Location Address3490 THE ALAMEDASanta Clara, CA 95050-4333

Mailing Address3490 The AlamedaSanta Clara, CA 95050-4333 · (408) 243-0222

Phone(408) 243-0222

Sole ProprietorNo

Enumeration DateSeptember 17, 2019

✔ NPI 1093365561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

3490 THE ALAMEDA, Santa Clara, CA 95050

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD GRANT MUIR M.A.

Counselor