Wallace, Jasmine Alicia
Wallace, Jasmine Alicia is an individual health care provider with primary practice located at 145 Maple Ave , Red Bank NJ 07701-1717. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wallace, Jasmine Alicia can be contacted via phone (732) 747-9660.Contact Information
Primary practice address
145 Maple Ave
Red Bank NJ 07701-1717
Phone: (732) 747-9660
Fax: (732) 224-1396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1194892620 |
|---|---|
| LBN Legal business name | Wallace, Jasmine Alicia |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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