Jefferey Wallace is a Counselor based in Santa Cruz, CA. Jefferey Wallace practices in Gilroy, CA. The NPI Number for Jefferey Wallace is 1902023070 and holds a License No. (California).
The current practice location address for Jefferey Wallace is 6980 Chestnut St, Gilroy, CA and can be reached out via phone at 408-842-7138.
Location: 6980 Chestnut St, Gilroy, CA, 95060-2894
Provider Profile Details
NPI Number
1902023070
Provider Name
Jefferey Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
6980 Chestnut St, Gilroy, CA, 95060-2894
Phone Number
408-842-7138
Fax Number
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
6980 Chestnut St
City
State
Zip
95020-6635
Phone Number
408-842-7138
Fax Number
Provider Business Mailing Address Details
Address
6980 Chestnut St
City
State
Zip
95020-6635
Phone Number
408-842-7138
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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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