Jacob Wallace is a Mental Health in Oakland, California. Jacob Wallace practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jacob Wallace is 1386809697. The last update date is 2008-07-25.
Jacob Wallace's current location address is 3419 69th Ave Apt 102, Oakland, California. You can contact this provider via phone number 5105692552. The mailing address for Jacob Wallace is 3419 69th Ave Apt 102, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Wallace |
|---|---|
| Address | 3419 69th Ave Apt 102, Oakland, California |
| Phone Number | 5105692552 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1386809697 |
|---|---|
| Provider Enumeration Date | 2008-07-25 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | 3419 69th Ave Apt 102 |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946052574 |
| Phone Number | 5105692552 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jacob Wallace by the Centers for Medicare & Medicaid Services?
The Jacob Wallace has been assigned the NPI (National Provider Identifier) 1386809697. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacob Wallace is physically located?
The Jacob Wallace is situated at the following address: 3419 69Th Ave Apt 102, Oakland, CA 946052574.
What is Jacob Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacob Wallace is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386809697 to Jacob Wallace?
The Centers for Medicare & Medicaid Services assigned the 1386809697 to Jacob Wallace on 2008-07-25.
As of what date were the details pertaining to Jacob Wallace last refreshed?
The information related to the Jacob Wallace, including its address, specialty, and other relevant details, was last updated on 2008-07-25.
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