Jennifer Wallace Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Palmdale, CA
- NPI
- 1205483849
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- CI21770419
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-08-19
- Last updated
- 2019-08-19
Practice location
320 E Palmdale Blvd
Palmdale, CA 93550-4598
(661) 729-9000