Individual
MRS. JENNIFER M. WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2298 W HORIZON RIDGE PKWY, SUITE 109, HENDERSON, NV 89052-2696
(702) 363-7284
(702) 242-5252
Mailing address
2298 W HORIZON RIDGE PKWY, SUITE 109, HENDERSON, NV 89052-2696
(702) 363-7284
(702) 242-5252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1118L
NV
104100000X
Social Worker
Primary
00561-A
NV
106H00000X
Marriage & Family Therapist
R05387
NV
Other
Enumeration date
05/04/2007
Last updated
09/11/2025
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