JAMIE P WALLACE, SUD COUNSELOR

NPI: 1972447209 · Individual · Active

Primary Specialty

Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)

Practice Location

1628 BROADWAY ST
VALLEJO, CA 94590-2405 Map ↗
Phone: 707-721-9555

All Specialties & Licenses

  • Addiction (Substance Use Disorder) Counselor Primary — Addiction (Substance Use Disorder) (license: R1541450124, CA)

NPI Registration

Enumerated: 2026-04-16

Last CMS Update: 2026-04-16