Search › California › 101YM0800X
Jackson Wall, APCC, AMFT
NPI 1518577790 · on the registry since 2020
Practice
- Address
- 1450 20th St
Santa Monica, CA 90404 - Phone
- (310) 309-6001
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-13
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