Search › California › Mental Health Counselor
Jacob Wallace
NPI 1386809697 · on the registry since 2008
Practice
- Address
- 4368 Lincoln Ave
Oakland, CA 94602 - Phone
- (510) 531-3111
- Fax
- (510) 530-8083
- Organisation at this address
- Lincoln Child Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 230
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2008-07-25
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