Jackson Wall is a Santa Monica, California based counselor who is specialized as Mental Health Counselor. Active license number of Jackson Wall is AMFT120524 for Mental Health Counselor in California. His current practice location is 1450 20th St, Santa Monica. Patients can book an appointment with him at 310-309-6001.
Jackson Wall is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Jackson Wall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jackson Wall
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
APCC, AMFT
Accepts Medicare Assignment:
No
Practice Address:
1450 20th St, Santa Monica, California, 90404-2906
Phone:
310-309-6001
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1518577790
NPI Enumeration Date:
03 Aug, 2020
NPI Last Update On:
13 Aug, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Wall are as mentioned below.
License Number
Specialization
State
Status
AMFT120524
Mental Health Counselor
California
Primary
APCC8154
Mental Health Counselor
California
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1113, Redondo Beach, California
Zip:
90278-0113
Patients can reach Jackson Wall at 1450 20th St, Santa Monica, California or can call to book an appointment on 310-309-6001. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.