Mr. Jacob Wallace II
Mr. Jacob Wallace II is a Mental Health Counselor in Oakland, California. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
4368 Lincoln AveOakland, CA 94602-2529
Phone: (510) 531-3111
Fax: (510) 530-8083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1386809697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 25, 2008 |
| Last updated in NPPES | July 25, 2008 |
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