Individual provider · Type 1 NPI

Joanna Lynn Wallace

Counselor · Santa Clara, CA

NPI number 1093365561 Active

Practice location

3490 The Alameda
Santa Clara, CA 95050-4333

Call (408) 243-0222 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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 supervision for licensure or certification.

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About NPI 1093365561

Joanna Lynn Wallace's National Provider Identifier is 1093365561, issued on Sep 17, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Clara, CA. The record was last updated on Sep 17, 2019.