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

Mrs. Jennifer M. Wallace, MED

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093927907

Mrs. Jennifer M. Wallace, MED is an Addiction (Substance Use Disorder) Counselor in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2007.

Licensed in
NV
In the registry since
2007
Specialties on file
3
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

See every abbreviation used in this directory →

Practice location Address checks out

2298 W Horizon Ridge Pkwy Ste 109
Henderson, NV 89052-2696
Phone: (702) 363-7284
Fax: (702) 242-5252
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 00561-A (NV)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1118L (NV)
Marriage & Family Therapist Taxonomy 106H00000X · Licence R05387 (NV)

Record details

NPI number1093927907
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESSeptember 11, 2025

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