person
Jerron Wallace, LMSW
Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico
NPI 1033589247

Jerron Wallace is an Addiction (Substance Use Disorder) Counselor based in Albuquerque, NM and is specialized in Addiction (Substance Use Disorder). Jerron Wallace practices in Albuquerque, NM and has the professional credentials of LMSW. The NPI Number for Jerron Wallace is 1033589247 and holds a License No. X-09336 (New Mexico).

The current practice location address for Jerron Wallace is 912 1St St Nw, Albuquerque, NM and can be reached out via phone at 505-224-9777.

Location: 912 1St St Nw, Albuquerque, NM, 87102-2355
person
Provider Profile Details
NPI Number
1033589247
Provider Name
Jerron Wallace
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
912 1St St Nw, Albuquerque, NM, 87102-2355
Phone Number
505-224-9777
Fax Number
Provider Enumeration Date
09/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
912 1St St Nw
City
State
Zip
87102-2355
Phone Number
505-224-9777
Fax Number
person
Provider Business Mailing Address Details
Address
912 1St St Nw
City
State
Zip
87102-2355
Phone Number
505-224-9777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
X-09336 (New Mexico)
Definition
Definition to come...
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