JENNIFER WALLACE
NPI 1205483849
Counselor - Addiction (Substance Use Disorder) in Palmdale, CA
Active since August 19, 2019
About Jennifer Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER WALLACE (NPI 1205483849) is an individual addiction (substance use disorder) provider in Palmdale, California, licensed in (CI21770419) and active in the NPI registry since August 2019.
NPPES Registry Identity
NPI1205483849
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER WALLACE
Location Address320 E PALMDALE BLVDPalmdale, CA 93550-4598
Mailing Address43415 20th St W Apt 21Lancaster, CA 93534-5964 · (661) 754-1550
Phone(661) 729-9000
Sole ProprietorNo
Enumeration DateAugust 19, 2019
✔ NPI 1205483849 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed · CI21770419
320 E PALMDALE BLVD, Palmdale, CA 93550
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Clinic/Center (Medical Specialty)
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Nurse Practitioner (Family)
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Case Manager/Care Coordinator
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
PALMDALE, CA 93550
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205483849, enumerated as an "individual" on August 19, 2019.
The provider is located at 320 E PALMDALE BLVD PALMDALE, CA 93550 and the phone number is (661) 729-9000.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).