JACOB WALLACE

OAKLAND, CA
NPI1386809697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-07-25
Last Update Date2008-07-25
Business Address
Mr. JACOB WALLACE
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111
Mailing Address
Mr. JACOB WALLACE
3419 69TH AVE APT 102
OAKLAND, CA 94605-2574
Phone number: 510-569-2552
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