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

Jennifer Wallace

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205483849

Jennifer Wallace is an Addiction (Substance Use Disorder) Counselor in Palmdale, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

320 E Palmdale Blvd
Palmdale, CA 93550-4598
Phone: (661) 729-9000
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 CI21770419

Record details

NPI number1205483849
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESAugust 19, 2019
Mailing address43415 20th St W Apt 21, Lancaster, CA 93534-5964

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