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Ms. Janae Courtney Wallace, LVN
Peer Specialist in Oakland, California
NPI 1083481295

Janae Courtney Wallace is a Peer Specialist based in Oakland, CA. Janae Courtney Wallace practices in Oakland, CA and has the professional credentials of LVN. The NPI Number for Janae Courtney Wallace is 1083481295 and holds a License No. (California).

The current practice location address for Janae Courtney Wallace is 390 40Th St, Oakland, CA and can be reached out via phone at 510-660-3085.

Location: 390 40Th St, Oakland, CA, 94609-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083481295
Provider Name
Janae Courtney Wallace
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
390 40Th St, Oakland, CA, 94609-2633
Phone Number
510-660-3085
Fax Number
Provider Enumeration Date
12/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
510-660-3085
Fax Number
person
Provider Business Mailing Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
510-660-3085
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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