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Joanna Lynn Wallace
Counselor in Santa Clara, California
NPI 1093365561

Joanna Lynn Wallace is a Counselor based in Santa Clara, CA. Joanna Lynn Wallace practices in Santa Clara, CA. The NPI Number for Joanna Lynn Wallace is 1093365561 and holds a License No. (California).

The current practice location address for Joanna Lynn Wallace is 3490 The Alameda, Santa Clara, CA and can be reached out via phone at 408-243-0222.

Location: 3490 The Alameda, Santa Clara, CA, 95050-4333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093365561
Provider Name
Joanna Lynn Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
3490 The Alameda, Santa Clara, CA, 95050-4333
Phone Number
408-243-0222
Fax Number
Provider Enumeration Date
09/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3490 The Alameda
City
Santa Clara
State
California
Zip
95050-4333
Phone Number
408-243-0222
Fax Number
person
Provider Business Mailing Address Details
Address
3490 The Alameda
City
Santa Clara
State
California
Zip
95050-4333
Phone Number
408-243-0222
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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