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Jessica Wallace
Marriage & Family Therapist in Poway, California
NPI 1073940888

Jessica Wallace is a Marriage & Family Therapist based in Ramona, CA. Jessica Wallace practices in Poway, CA. The NPI Number for Jessica Wallace is 1073940888 and holds a License No. (California).

The current practice location address for Jessica Wallace is 15611 Pomerado Rd Ste 535, Poway, CA and can be reached out via phone at 858-279-1223.

Location: 15611 Pomerado Rd Ste 535, Poway, CA, 92065-0957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073940888
Provider Name
Jessica Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
15611 Pomerado Rd Ste 535, Poway, CA, 92065-0957
Phone Number
858-279-1223
Fax Number
Provider Enumeration Date
10/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15611 Pomerado Rd Ste 535
City
Poway
State
California
Zip
92064-2437
Phone Number
858-279-1223
Fax Number
person
Provider Business Mailing Address Details
Address
15611 Pomerado Rd Ste 535
City
Poway
State
California
Zip
92064-2437
Phone Number
858-279-1223
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
103283 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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