Individual provider · Type 1 NPI

Jessica Wallace, MA, NCC

Mental Health Counselor · Knoxville, TN

NPI number 1083907299 Active

Practice location

10414 Jackson Oaks Way Ste 103
Knoxville, TN 37922-0704

Call (865) 567-2899 Map

Mailing address

5004 Jenkins Rd
Knoxville, TN 37918-2227

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800X6639 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1083907299

Jessica Wallace, MA, NCC's National Provider Identifier is 1083907299, issued on May 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Knoxville, TN. The record was last updated on May 6, 2024.