Search › California › 1041C0700X
Jonathan Wallis, LCSW
NPI 1124253307 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1610 Scott St
San Francisco, CA 94115 - Phone
- (415) 820-9609
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 102L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California