| Jackson Wall, APCC, AMFT | |
|
1450 20th St, Santa Monica, CA 90404-2906 | |
| (310) 309-6001 | |
| Not Available |
| Full Name | Jackson Wall |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1450 20th St, Santa Monica, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518577790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | AMFT120524 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | APCC8154 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Wall, APCC, AMFT Po Box 1113, Redondo Beach, CA 90278-0113 Ph: () - | Jackson Wall, APCC, AMFT 1450 20th St, Santa Monica, CA 90404-2906 Ph: (310) 309-6001 |
Andrew Liberman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1328 2nd St, Santa Monica, CA 90401 Phone: 310-394-6889 | |
Kristen Elaine Mcdermott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3435 Ocean Park Blvd, Santa Monica, CA 90405 Phone: 310-392-9474 | |
Miss Carly Elizabeth Decerce, RAD-T LEVEL I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 Pico Blvd, Santa Monica, CA 90405 Phone: 310-848-7132 | |
Dr. Sarah Kamdar, PSYD Counselor Medicare: Medicare Enrolled Practice Location: 1452 26th St, Ste 102, Santa Monica, CA 90404 Phone: 310-571-8160 | |
Stephen S Reeder, M.A., LPC, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 Cloverfield Blvd Ste 131, Santa Monica, CA 90404 Phone: 310-829-9161 | |
Ariana Gravanis, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3101 Ocean Park Blvd Ste 309, Santa Monica, CA 90405 Phone: 424-231-6981 | |
Christine Ann Parker, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2834 Colorado Ave Ste 200, Santa Monica, CA 90404 Phone: 760-456-5506 |