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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: August 16, 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 NPPES 20

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

ANTONIA M ROCHA RADT
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 729-9000
JOANNA GUTIERREZ
Counselor (Addiction (Substance Use Disorder))
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 654-3887
PRINCESS ALEXANDRA SYLVE
Peer Specialist
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 996-1051
DOREEN RIINYA MURIITHI
Nurse Practitioner (Family)
320 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (818) 654-3887
JESSICA A PANTOJA RAS
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
MR. GREGORY GLEN MAXWELL LMFT
Marriage & Family Therapist
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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1205483849. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 320 E Palmdale Blvd, Palmdale, CA 93550. The listed phone number is (661) 729-9000.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.