| Jacob Wallace, | |
|
15924 Sw 92nd Ave, Palmetto Bay, FL 33157-1842 | |
| (305) 964-5824 | |
| Not Available |
| Full Name | Jacob Wallace |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 15924 Sw 92nd Ave, Palmetto Bay, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639031503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Wallace, 15175 Sw 111th St, Miami, FL 33196-2503 Ph: (786) 209-4513 | Jacob Wallace, 15924 Sw 92nd Ave, Palmetto Bay, FL 33157-1842 Ph: (305) 964-5824 |
Dr. Mark J Macgowan, PHD LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 14401 Old Cutler Rd, Palmetto Bay, FL 33158 Phone: 786-573-7010 | |
Yvonnette Joy Francis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15924 Sw 92nd Ave Bay Fl33157, Palmetto Bay, FL 33157 Phone: 305-964-5824 Fax: 786-452-1200 | |
Judith Lemus, IMH21222 Counselor Medicare: Not Enrolled in Medicare Practice Location: 14401 Old Cutler Rd, Palmetto Bay, FL 33158 Phone: 786-573-7010 | |
Lisbeth M Rubio, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9245 Sw 157th St Ste 203, Palmetto Bay, FL 33157 Phone: 786-879-3067 | |
Mrs. Marisol Yesenia Weaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14401 Old Cutler Rd, Palmetto Bay, FL 33158 Phone: 786-573-7010 Fax: 888-851-8245 | |
Yasamin Colon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14401 Old Cutler Road, Palmetto Bay, FL 33158 Phone: 786-573-7010 | |
Alissa Rodriguez, Counselor Medicare: Accepting Medicare Assignments Practice Location: 9016 Sw 152nd St, Palmetto Bay, FL 33157 Phone: 786-759-9461 |