JAMAAL WALLACE
Counselor (Mental Health)

Address: 4211 Avalon Blvd, Los Angeles, CA 90011-5622

JAMAAL WALLACE (NPI# 1427643196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427643196
Entity Type Individual
Full Name JAMAAL WALLACE
Gender Male
Practice Address 4211 Avalon Blvd
Los Angeles
CA 90011-5622
Practice Telephone 3232330425
Mailing Address 4211 Avalon Blvd
Los Angeles
CA 90011-5622
Certification Date 2021-03-04
Enumeration Date 2021-03-04
Last Update Date 2021-03-04
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
173039 CA Behavioral Health & Social Service Providers

Office Location

Street Address 4211 AVALON BLVD
City LOS ANGELES
State CA
Zip Code 90011-5622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558951939 Mary Olert Social Worker · Clinical 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2021-01-20
1528656154 Keily Canales Case Manager/Care Coordinator 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2021-01-08
1881280774 Sarah V Francisco Registered Nurse 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-12-15
1427659382 Dana Thomas Social Worker 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-11-05
1487254488 Destiny Marie Lara Case Manager/Care Coordinator 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-10-28
1538767215 Shira Amiri Social Worker 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-10-14
1053927301 Luz Elena Nunez Social Worker 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-09-22
1740895168 Veronica Isaac Case Manager/Care Coordinator 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-09-11
1356952881 Emily Wakeling Counselor · Mental Health 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-08-10
1336758770 Diana Ramos Case Manager/Care Coordinator 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-07-30
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891322988 Victor C Nnah Student in an Organized Health Care Education/Training Program Kedren Community Health Center 4211 Avalon Blvd, Los Angeles, CA 90011-5622 2020-03-26
1073729547 Vahagun Safarian Pharmacist 4211 S Avalon Blvd, Los Angeles, CA 90011-5622 2007-05-14

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1093308009 South Central Family Health Center Clinic/Center · Federally Qualified Health Center (FQHC) 4411 S Central Ave, Los Angeles, CA 90011 2021-02-19
1558964973 Kate Antonia Burt Case Manager/Care Coordinator 4211 South Avalon Boulevard, Los Angeles, CA 90011 2020-11-18
1184223935 Commercial & Housing Support Aid · Commercial & Housing Support Aid Assisted Living Facility 120 - 122 East 24th Street, Los Angeles, CA 90011 2020-10-22
1295377711 Joseph D Madrigal Home Health Aide 1977 Anzac Ave, Los Angeles, CA 90011 2019-10-16
1760952717 Ashkan Ghoulian Moghadam · Ashkan Moghadam Pharmacist 1025 E Adams Blvd, Los Angeles, CA 90011 2018-12-03
1285100792 Kedren Community Health Center, Inc. · Kedren Community Health Center, Inc. Psychiatric Hospital 4211 South Avalon Blvd, Los Angeles, CA 90011 2018-10-23
1255813689 Christ-Centered Ministries Community/Behavioral Health 271 E. 43rd Street, Los Angeles, CA 90011 2018-09-01
1982186326 Karla Solis Licensed Vocational Nurse 271 E. 43rd Street, Los Angeles, CA 90011 2018-09-01
1538641212 Brenda Bahena Community Health Worker South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 2018-08-30
1083101851 Bronwyn Anne Hazlewood Student in an Organized Health Care Education/Training Program 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 2018-04-17
Find all providers in zip 90011

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265027973 Melanie Rashbaum 1555 Vine St Apt 583v, Los Angeles, CA 90028-8584 2021-03-04
1104411784 Michelle Wong 2116 Arlington Ave Ste 100, Los Angeles, CA 90018-1353 2021-03-04
1972198919 Alexis Conrad 332 N Van Ness Ave, Los Angeles, CA 90004-1524 2021-03-02
1508451501 Crystal Rojas 11601 S Western Ave, Los Angeles, CA 90047-5006 2021-03-02
1912591140 Andrew Brucker 3787 S Vermont Ave, Los Angeles, CA 90007-4203 2021-02-28
1881288389 Saul Serrano 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 2021-02-24
1861085235 In Touch Marriage and Family Therapy Inc. 1400 N Fuller Ave Unit 8, Los Angeles, CA 90046-4792 2021-02-17
1972196350 Jessica Serber 11911 San Vicente Blvd Ste 240, Los Angeles, CA 90049-6619 2021-02-16
1639761240 Yufeng Yang 688 S Berendo St Apt 613, Los Angeles, CA 90005-1782 2021-02-04
1871185660 Naomi Bock 1910 W Sunset Blvd Ste 440, Los Angeles, CA 90026-3262 2021-02-03
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.