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JOHN NELL WALLACE
NPI 1851084966
Counselor in Santa Rosa, CA

Active since June 02, 2023
1430 NEOTOMAS AVE, SANTA ROSA, CA 95405(707) 565-7460 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John Nell Wallace NPPES

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

JOHN NELL WALLACE (NPI 1851084966) is an individual counselor in Santa Rosa, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1851084966
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJOHN NELL WALLACE
Location Address1430 NEOTOMAS AVESanta Rosa, CA 95405-7575
Mailing Address1430 Neotomas AveSanta Rosa, CA 95405-7575 · (707) 565-7460
Phone(707) 565-7460
Sole ProprietorNo
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1851084966 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.
1430 NEOTOMAS AVE, Santa Rosa, CA 95405
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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.

PATRICIA R NELSON
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-6971
BARBARA KNIGHT
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7450
SHERRI LYNN MCNEIL
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7460
MRS. BEATRIZ RAMONA TLAHUITZO-DELAO RADT-1, MHFA
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7450
GAYLE LYNN CLAY
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7460
SHELBY MCCLINTOCK
Case Manager/Care Coordinator
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7460
KERRY SHEEHAN
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7485
BONNIE WRIGHT
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7450

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 John Wallace's NPI number?

The NPI number for John Wallace is 1851084966. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is John Wallace located?

John Wallace practices at 1430 Neotomas Ave, Santa Rosa, CA 95405. The listed phone number is (707) 565-7460.

What is John Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for John Wallace was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.