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Search › California › Student in an Organized Health Care Education/Training Program

Jefferey Wallace

NPI 1902023070 · on the registry since 2007

Practice

Address
1400 Emeline Ave Bldg K
Santa Cruz, CA 95060
Phone
(831) 345-7746
Organisation at this address
Santa Cruz County
Fee-For-Service Lcsw
County Of Santa Cruz
County Of Santa Cruz
County Of Santa Cruz
Inferred from a shared address, not stated in the registry.
Clinicians at this address
234

Additional practice sites

  • 6980 Chestnut St, Gilroy, CA

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Counselor
Sex
Male
Record last updated
2025-08-26

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