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

Jamie P Wallace, SUDCOUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972447209

Jamie P Wallace, SUDCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Vallejo, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1628 Broadway St
Vallejo, CA 94590-2405
Phone: (707) 721-9555
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1541450124 (CA)

Record details

NPI number1972447209
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCOUNSELOR
Sole proprietorNo
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Other providers in Vallejo