Jasmine Alicia Wallace in Asbury Park - Counselor

Jasmine Alicia Wallace - NPI 1194892620

Jasmine Alicia Wallace is a Counselor in Asbury Park, New Jersey. Jasmine Alicia Wallace practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jasmine Alicia Wallace is 1194892620. The last update date is 2007-07-08.

Jasmine Alicia Wallace's current location address is 610 Sewall Ave Apt 5r, Asbury Park, New Jersey. You can contact this provider via phone number 7327479660 and fax number 7322241396. The mailing address for Jasmine Alicia Wallace is 610 Sewall Ave Apt 5r, Asbury Park, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Jasmine Alicia Wallace
Address 610 Sewall Ave Apt 5r, Asbury Park, New Jersey
Phone Number 7327479660
Fax Number 7322241396
Sole Proprietor N
Credentials B.S.

NPI Number Detail

NPI Number 1194892620
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 610 Sewall Ave Apt 5r
City Asbury Park
State New Jersey (NJ)
Post Code 77126540
Phone Number 7327479660
Fax Number 7322241396

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
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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FAQs about Jasmine Alicia Wallace

What is the Jasmine Alicia Wallace's unique identification number?

The Jasmine Alicia Wallace has been assigned the NPI (National Provider Identifier) Number 1194892620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jasmine Alicia Wallace's facilities are situated?

The facilities of Jasmine Alicia Wallace are physically located at the following address: 610 Sewall Ave Apt 5R, Asbury Park, NJ, 77126540.

What is Jasmine Alicia Wallace's area of expertise and its corresponding taxonomy classification?

The Jasmine Alicia Wallace's field of specialization is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their areas of practice.

When did Jasmine Alicia Wallace receive its 1194892620 assignment?

The Jasmine Alicia Wallace was assigned its 1194892620 on 2006-11-29, which is the date when this unique identifier was issued to the organization.

When was the information related to Jasmine Alicia Wallace most recently updated or refreshed?

The details pertaining to the Jasmine Alicia Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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