Jesseca Marie Wallace
Jesseca Marie Wallace is an Addiction (Substance Use Disorder) Counselor in Streetsboro, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
8720 Mavis TrlStreetsboro, OH 44241
Phone: (440) 384-8934
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1245871177 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2019 |
| Last updated in NPPES | September 24, 2020 |
| Certification date | September 24, 2020 |
| Mailing address | 8720 Mavis Trl, Streetsboro, OH 44241-4219 |
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