Wallace Woodard, Jessica Erin

Wallace Woodard, Jessica Erin is an sole proprietor health care provider with primary practice located at 4207 San Isidro St Nw , Albuquerque NM 87107-2829. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallace Woodard, Jessica Erin can be contacted via phone (505) 249-8174.

Contact Information

Primary practice address
4207 San Isidro St Nw Albuquerque NM 87107-2829
Fax: (505) 792-0753

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0158 New Mexico

Profile Details

NPI number 1225040777
LBN Legal business name Wallace Woodard, Jessica Erin
Credentials LPCC, CEAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 16 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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