JON WALLER LMHC NPI 1790331270

NPI Information

NPI: 1790331270
Provider Name: JON WALLER, LMHC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
4800 W COMMERCIAL BLVD
TAMARAC, FL
ZIP 33319
Phone: (954) 300-3244
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Jon Waller, LMHC is a counselor in Tamarac, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jon Waller, LMHC NPI is 1790331270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4800 W COMMERCIAL BLVD
TAMARAC, FL
ZIP 33319-879
Phone: (954) 300-3244

The enumeration date for this NPI number is 8/12/2019 and was last updated on 8/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		MH12508	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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