Individual provider · Type 1 NPI

Jamaal Aqeel Wallace

Mental Health Counselor · Los Angeles, CA

NPI number 1427643196 Active

Practice location

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Call (323) 751-3026 Map

Other practice locations

  • 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 · (323) 751-3026

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X173039 (CA)
Mental Health Counselor Primary 101YM0800XASW94271 (CA)

Mental Health Counselor: Definition to come...

242 other providers at this address

Other mental health counselor providers in Los Angeles

See all in Los Angeles →

About NPI 1427643196

Jamaal Aqeel Wallace's National Provider Identifier is 1427643196, issued on Mar 4, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 3, 2021.