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

Jefferey Wallace

Individual provider Counselor · NPI 1902023070

Jefferey Wallace is a Counselor in Santa Cruz, California. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1400 Emeline Ave Bldg K
Santa Cruz, CA 95060-1976
Phone: (831) 345-7746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6980 Chestnut St, Gilroy, CA 95020-6635 — (408) 842-7138

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1902023070
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

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