Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE JAY SPINKS
Active Sole ProprietorWALLACE JAY SPINKS is a Mental Health Counselor healthcare provider located in SHASTA LAKE, California. NPI 1285517409 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SHASTA LAKE, CA
Registration Details
- NPI Number
- 1285517409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2025 (1.0268210859893 yrs)
- Last Updated
- Jul 26, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1405 GRAND RIVER AVESHASTA LAKE, CA, 960199767Browse CA providers · Browse ZIP 96019
- Phone
- 5302255556
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in SHASTA LAKE, CA
| Name | Credential | NPI |
|---|---|---|
| TINA MARIE MILAN | LCSW | 1225470081 |
| GLORIA RICHMOND | LMFT | 1821696659 |
| HEATHER LAND | — | 1316892755 |
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.