JACKSON WALL, APCC, AMFT

APCC, AMFT

Mental Health Counselor

NPI: 1518577790Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

AMFT120524(CA)APCC8154(CA)

Contact & Hours

Address: 1450 20TH ST
SANTA MONICA, CA 90404
Phone: (310) 309-6001

Quick Facts

NPI: 1518577790
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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