JODEE AN WALLACE

LOS ANGELES, CA
NPI1508044173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-02-06
Last Update Date2008-02-06
Business Address
-- JODEE AN WALLACE
5311 WESTERN AVE
LOS ANGELES, CA 90062
Phone number: 323-299-2111
Mailing Address
-- JODEE AN WALLACE
5311 WESTERN AVE
LOS ANGELES, CA 90062
Phone number: