Jefferey Wallace is a Counselor in Gilroy, California. Jefferey Wallace practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jefferey Wallace is 1902023070. The last update date is 2007-07-08.
Jefferey Wallace's current location address is 6980 Chestnut St, Gilroy, California. You can contact this provider via phone number 4088427138. The mailing address for Jefferey Wallace is 6980 Chestnut St, Gilroy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jefferey Wallace |
|---|---|
| Address | 6980 Chestnut St, Gilroy, California |
| Phone Number | 4088427138 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902023070 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6980 Chestnut St |
|---|---|
| City | Gilroy |
| State | California (CA) |
| Post Code | 950206635 |
| Phone Number | 4088427138 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jefferey Wallace by the Centers for Medicare & Medicaid Services?
The Jefferey Wallace has been issued the NPI (National Provider Identifier) 1902023070, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jefferey Wallace's physical address?
The Jefferey Wallace is physically located at 6980 Chestnut St, in the city of Gilroy, CA, with the postal code 950206635.
What is Jefferey Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jefferey Wallace is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did the Jefferey Wallace receive the assignment of its 1902023070 from the Centers for Medicare & Medicaid Services?
The Jefferey Wallace was issued its 1902023070 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date was the information regarding Jefferey Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jefferey Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.