Individual provider · Type 1 NPI

Jodee An Wallace

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1508044173 Active

Practice location

5311 Western Ave
Los Angeles, CA 90062

Call (323) 299-2111 Map

Fax (323) 299-2525

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508044173

Jodee An Wallace's National Provider Identifier is 1508044173, issued on Feb 6, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 6, 2008.