Search › South Dakota › 104100000X
Jennifer Wallace, CSW, QMHP
NPI 1174088900 · on the registry since 2019
Practice
- Address
- 851 West St
Rapid City, SD 57701 - Phone
- (605) 393-4278
Additional practice sites
- 5301 Hwy 16, Rapid City, SD
- 24100 S Rockerville Rd, Rapid City, SD
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-10
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 South Dakota