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JEANNIE WALLACE PHD

Psychoanalysis

Encino, California

Provider NPI: 1699328492

Provider Information:
 JEANNIE  WALLACE PHD
Gender: F
Sole Proprietor


Practice Location:
16055 VENTURA BLVD STE 728  ENCINO, CA 91436 US
Tel: 818-501-5590  Fax: --

Business Mailing Address:
16055 VENTURA BLVD STE 728  ENCINO, CA 91436 US
Tel: 818-501-5590  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TP0814XBehavioral Health & Social Service Providers
Psychologist
Psychoanalysis
CAMFT18882
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT18882









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