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Jamaal Wallace
NPI 1427643196 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3850 Crenshaw Blvd
Los Angeles, CA 90008 - Phone
- (323) 751-3026
- Organisation at this address
- Southern California Health & Rehabilitation Program
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 238
Additional practice sites
- 3850 Crenshaw Blvd, Los Angeles, CA
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Also registered as
- Mental Health Counselor
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-03
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