JAMIE P WALLACE SUD COUNSELOR
NPI 1972447209
Counselor - Addiction (Substance Use Disorder) in Vallejo, CA

Active since April 16, 2026
1628 BROADWAY ST, VALLEJO, CA 94590(707) 721-9555 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jamie P Wallace Sud Counselor NPPES

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

JAMIE P WALLACE SUD COUNSELOR (NPI 1972447209) is an individual addiction (substance use disorder) provider in Vallejo, California, licensed in California (R1541450124) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1972447209
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAMIE P WALLACECredential: SUD COUNSELOR
Location Address1628 BROADWAY STVallejo, CA 94590-2405
Mailing Address1628 Broadway StVallejo, CA 94590-2405 · (707) 721-9555
Sole ProprietorNo
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
NPI 1972447209 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 in CA · R1541450124
1628 BROADWAY ST, Vallejo, CA 94590

Other Providers at the Same Location NPPES 15

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

Licensed Vocational Nurse
1628 BROADWAY ST
VALLEJO, CA 94590
Counselor (Addiction (Substance Use Disorder))
1628 BROADWAY ST, B
VALLEJO, CA 94590
Licensed Vocational Nurse
1628 BROADWAY ST
VALLEJO, CA 94590
Counselor (Addiction (Substance Use Disorder))
1628 BROADWAY ST
VALLEJO, CA 94590
Licensed Vocational Nurse
1628 BROADWAY ST
VALLEJO, CA 94590
Specialist/Technologist, Other
1628 BROADWAY ST
VALLEJO, CA 94590
Counselor (Addiction (Substance Use Disorder))
1628 BROADWAY ST
VALLEJO, CA 94590
Clinic/Center (Methadone)
1628 BROADWAY ST
VALLEJO, CA 94590

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 Jamie Wallace's NPI number?

The NPI number for Jamie Wallace is 1972447209. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Jamie Wallace located?

Jamie Wallace practices at 1628 Broadway St, Vallejo, CA 94590. The listed phone number is (707) 721-9555.

What is Jamie 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 Jamie Wallace was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.