| Wallace Jay Spinks, | |
|
1405 Grand River Ave, Shasta Lake, CA 96019-9767 | |
| (530) 225-5556 | |
| Not Available |
| Full Name | Wallace Jay Spinks |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1405 Grand River Ave, Shasta Lake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285517409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Jay Spinks, 1405 Grand River Ave, Shasta Lake, CA 96019-9767 Ph: (530) 225-5556 | Wallace Jay Spinks, 1405 Grand River Ave, Shasta Lake, CA 96019-9767 Ph: (530) 225-5556 |
Tina Marie Milan, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4300 Fort Peck St, Shasta Lake, CA 96019 Phone: 530-338-0087 | |
Mrs. Kathryn Jocelyn Nuss, CASII, NCACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 5010 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1076 Fax: 530-275-1076 | |
Gloria Richmond, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5149 Front St, Shasta Lake, CA 96019 Phone: 530-329-0780 | |
Mr. Tracy Daniel Campbell, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5010 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1076 Fax: 530-275-3717 |