MR. JEFFREY EUGENE WALLACE


Address: 400 S Jefferson St Ste 200, Spokane, WA 99204-3143
Phone: 5098228662

MR. JEFFREY EUGENE WALLACE (NPI# 1538557012) 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) 1538557012
Entity Type Individual
Full Name MR. JEFFREY EUGENE WALLACE
Other Name JEFF WALLACE
Credential LICSW, MSW, CDP, MHP
Practice Address 400 S Jefferson St Ste 200
Spokane
WA 99204-3143
Practice Telephone 5098228662
Mailing Telephone 5098228662
Enumeration Date 2015-01-06
Last Update Date 2019-01-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CO60490069 WA Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
SC60493319 WA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
SC60493319 WA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
22 S. Thor St., Spokane, WA 99202 5095322000 5095322005

Other Providers JEFFREY WALLACE

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1821014838 Jeffrey W Wallace Dentist 74 Grafton Rd, Townshend, VT 05353-0262 2006-07-14
1568499234 Jeffrey A. Wallace I Pharmacist 5420 Lancaster Dr, Kaiser Permanente Pharmacy Administration, Brooklyn Heights, OH 44131-1832 2006-06-27
1679563928 Jeffrey David Wallace Chiropractor 820 Charlevoix Dr, Suite 210, Grand Ledge, MI 48837-8188 2005-10-27
1548262108 Jeffrey Leigh Wallace Preventive Medicine 411 N Section St, Fairhope, AL 36532-2649 2005-08-12
1619392974 Jeffrey Michael Wallace Physician Assistant 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2014-02-24
1306006796 Jeffrey Robert Wallace Student in an Organized Health Care Education/Training Program 1365 Clifton Rd Ne, Building B Suite 2300, Atlanta, GA 30322-1013 2008-06-10
1649479171 Jeffrey W Wallace Physician Assistant 112 Piper Hill Dr, First Floor, Saint Peters, MO 63376-1690 2007-07-14
1215027990 Jeffrey Wallace Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2006-10-13
1003866419 Jeffrey Neil Wallace Chiropractor 330 140 Village Rd, Unit 9a, Westminster, MD 21157-6127 2006-05-10

Office Location

Street Address 400 S JEFFERSON ST STE 200
City SPOKANE
State WA
Zip Code 99204-3143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205193984 Kelsey Nicole Clark Counselor 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 2012-04-18
1053926337 Tiffany Coury Counselor 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 2020-09-13
1811519879 Lindsey C Mcintyre Social Worker 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 2020-05-13
1962973826 Jenny L Finley Counselor 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 2018-12-17
1124534474 Debra Winter Counselor 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 2017-12-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982250957 Megan Elizabeth Dibenedetto Pharmacist 105 West 8th Avenue, 350e, Spokane, WA 99204 2019-08-14
1619521168 Evelyn R Cabon Genetic Counselor, MS 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 2019-08-01
1346700655 Christina Rose Student in an Organized Health Care Education/Training Program 120 W. 8th Avenue, Spokane, WA 99204 2019-03-22
1508339862 Cody J French Physical Therapist Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 2019-01-09
1730655598 Washington Outpatient Rehabilitation, LLC Physical Therapist 507 S. Washington St., Suite 10, Spokane, WA 99204 2018-10-19
1013405547 Joel James Hayden Student in an Organized Health Care Education/Training Program Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 2018-04-30
1144694787 Brooksjohnsonpllc Dentist 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 2015-11-19
1497184196 Kathalene M Cassels Physician Assistant 810 W. 5th Ave. Ste 510, Spokane, WA 99204 2013-11-04
1174880454 Kelly E Wurzel Psychiatry & Neurology 624 E. Front Ave, Spokane, WA 99204 2012-04-11
1003190331 Katie L Gomez Nurse Practitioner 805 W. 5th Ave, Suite 518, Spokane, WA 99204 2011-10-05
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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
1043819550 Ginger Lee Grey Counselor 1325 W 1st Ave Ste 314, Spokane, WA 99201-4135 2020-10-26
1942808530 Hannah M. Smith Counselor 106 W. Mission Ave, Spokane, WA 99201-2337 2020-10-15
1659979870 Lisa Dawn Olson Counselor 327 W Montgomery Ave, Spokane, WA 99205-4737 2020-10-09
1811594658 Kaaren Goeller-bloom Counselor 106 West Mission, Spokane, WA 99201 2020-10-05
1255946695 Erik Brian Hildahl Counselor 514 E 22nd Ave, Spokane, WA 99203-2334 2020-09-12
1104439934 Kristin Penn, Ma, Lmhc (pllc) Counselor 170 S Lincoln St Ste 150, Spokane, WA 99201-4443 2020-08-31
1740819416 Elizabeth Michele Wright Counselor 815 W 7th Ave Ste 200, Spokane, WA 99204-2839 2020-04-05
1609416890 Mychal Ferger Counselor 1411 W Garland Ave Ste A, Spokane, WA 99205-2614 2020-01-15
1922659630 Creative Harmony Counseling LLC Counselor 721 N Pines Road, Spokane, WA 99206 2019-09-24
1447711668 Elizabeth Cynthia Young Counselor 8727 Us-2, Spokane, WA 99224 2019-03-29
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Competitor

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City SPOKANE
Zip Code 99204

Improve Information

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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.

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