Jessica Wallace
NPI #1073940888 in Poway, California
Provider Information
- NPI Number
- 1073940888
- Entity Type
- Individual
- Name
- Jessica Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Oct 11, 2013
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 15611 POMERADO RD STE 535
- City
- Poway
- State
- California
- ZIP Code
- 92064-2437
- Phone
- (858) 279-1223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Marriage & Family Therapist |
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