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

Jandale Wallace

Individual provider Counselor · NPI 1659232577

Jandale Wallace is a Counselor in San Antonio, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1600 NE Loop 410
San Antonio, TX 78209-1606
Phone: (888) 515-1793
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1659232577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

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