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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA WALLACE

Active

JESSICA WALLACE is a Marriage & Family Therapist healthcare provider located in POWAY, California. NPI 1073940888 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · POWAY, CA

Registration Details

NPI Number
1073940888
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2013 (12.848464679192 yrs)
Last Updated
Mar 17, 2018
License
103283 (CA)

Practice Information

Address
15611 POMERADO RD STE 535
POWAY, CA, 920642437
Browse CA providers · Browse ZIP 92064
Phone
8582791223
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in POWAY, CA

Name Credential NPI
MS. SHEILA ANNETTE GAUTHIER MFT 1306860549
MRS. HELEN GREIS LMFT 1932119310
LORRI A HILBERT MFCC, PHD 1033223540
FRAN F COOPER MFT 1710081872
SAMUEL ALLEN MOEHLENPAH MA, MFT 1205920907
KERRI LILES MOEHLENPAH MA, MFT 1003901737
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.