person
Jennifer Wallace, RADT
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1508532953

Jennifer Wallace is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Jennifer Wallace practices in Santa Rosa, CA and has the professional credentials of RADT. The NPI Number for Jennifer Wallace is 1508532953 and holds a License No. R1441130821 (California).

The current practice location address for Jennifer Wallace is 98 Hendley St, Santa Rosa, CA and can be reached out via phone at 707-527-0412.

Location: 98 Hendley St, Santa Rosa, CA, 95402-1356
person
Provider Profile Details
NPI Number
1508532953
Provider Name
Jennifer Wallace
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
98 Hendley St, Santa Rosa, CA, 95402-1356
Phone Number
707-527-0412
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
98 Hendley St
City
State
Zip
95404-5025
Phone Number
707-527-0412
Fax Number
person
Provider Business Mailing Address Details
Address
98 Hendley St
City
State
Zip
95404-5025
Phone Number
707-527-0412
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1441130821 (California)
Definition
Definition to come...
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