Individual provider · Type 1 NPI
Jodi Feinstein Wallace
Mental Health Counselor · San Diego, CA
NPI number
1790213684
Active
Practice location
6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Mailing address
2225 Calle Tiara
La Jolla, CA 92037-6902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1790213684
Jodi Feinstein Wallace's National Provider Identifier is 1790213684, issued on May 23, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on May 23, 2017.