Individual provider · Type 1 NPI
Wallace Jay Spinks
Mental Health Counselor · Shasta Lake, CA
NPI number
1285517409
Active
Practice location
1405 Grand River Ave
Shasta Lake, CA 96019-9767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Shasta Lake
About NPI 1285517409
Wallace Jay Spinks's National Provider Identifier is 1285517409, issued on Jul 26, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shasta Lake, CA. The record was last updated on Jul 26, 2025.