Individual provider · Type 1 NPI

Jasmine Alicia Wallace, B.S.

Counselor · Red Bank, NJ

NPI number 1194892620 Active

Practice location

145 Maple Ave
Red Bank, NJ 07701-1717

Call (732) 747-9660 Map

Fax (732) 224-1396

Mailing address

610 Sewall Ave Apt 5R
Asbury Park, NJ 07712-6540

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 1194892620

Jasmine Alicia Wallace, B.S.'s National Provider Identifier is 1194892620, issued on Nov 29, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Red Bank, NJ. The record was last updated on Jul 8, 2007.