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JENNIFER WALLACE
NPI 1205483849
Counselor - Addiction (Substance Use Disorder) in Palmdale, CA

Active since August 19, 2019
320 E PALMDALE BLVD, PALMDALE, CA 93550(661) 729-9000 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

CHRISTINA HESSELBROCK LCSW
Social Worker (Clinical)
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 654-3887
ANTONIA M ROCHA RADT
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
MRS. CRISTINA STOWE
Case Manager/Care Coordinator
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
ROBERTA PRICE LVN
Licensed Vocational Nurse
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
MR. ALFONSO LOPEZ JR.
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
JOSEPH MUNOZ
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
TARZANA TREATMENT CENTERS, INC.
Clinic/Center (Medical Specialty)
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 996-1051
JESSICA A PANTOJA RAS
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
MRS. JACKLINE SHINYONYA SUTHERLAND NP
Nurse Practitioner (Family)
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 526-4766
CELESTE MUNOZ
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
KARLA CORDERO
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 654-3887
MIGUEL ANGEL ANGUIANO OPERATION SUPERVISOR
Case Manager/Care Coordinator
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 654-3887
JOANNA GUTIERREZ
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 654-3887
ROSE AMANDA RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 654-3887
JESSE JOSUE DEL RIO
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
SYLVIA ANDREA RIVERA
General Practice
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 654-3887
MR. GREGORY GLEN MAXWELL LMFT
Marriage & Family Therapist
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
MS. MARIBEL BRISENO
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (616) 723-4829
IRVIN ANTHONY ALATORRE
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (562) 208-4831
BRIAN CASTRO
Licensed Vocational Nurse
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 996-1051

Frequently Asked Questions

What is Jennifer Wallace's NPI number?

The NPI number assigned to this healthcare provider is 1205483849, enumerated as an "individual" on August 19, 2019.

Where is the provider located?

The provider is located at 320 E PALMDALE BLVD PALMDALE, CA 93550 and the phone number is (661) 729-9000.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).