Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamaal Aqeel Wallace

Individual provider Mental Health Counselor · NPI 1427643196

Jamaal Aqeel Wallace is a Mental Health Counselor in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone: (323) 751-3026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 — (323) 751-3026

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence ASW94271 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 173039 (CA)

Record details

NPI number1427643196
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 4, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

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