Search › Washington › 101YM0800X
Jeffrey Wallace, LICSW, MSW, CDP, MHP
NPI 1538557012 · on the registry since 2015 · sole proprietor
Practice
- Address
- 400 S Jefferson St Ste 200
Spokane, WA 99204 - Phone
- (509) 822-8662
- Organisation at this address
- Mikolasy, Llc
Indigo Gardens Llc
Charmed Counseling
Massage For Life Llc
River City Tms, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Additional practice sites
- 22 S. Thor St., Spokane, WA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 1041C0700X
101YA0400X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-28
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 Washington