Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON WALLER, LMHC
Active Sole ProprietorJON WALLER, LMHC is a Counselor healthcare provider located in TAMARAC, Florida. NPI 1790331270 is currently active in the NPPES registry. Verify at CMS.
Counselor · TAMARAC, FL
Registration Details
- NPI Number
- 1790331270
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2019 (6.9859921162363 yrs)
- Last Updated
- Aug 12, 2019
- License
-
MH12508 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4800 W COMMERCIAL BLVDTAMARAC, FL, 333192879Browse FL providers · Browse ZIP 33319
- Phone
- 9543003244
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in TAMARAC, FL
| Name | Credential | NPI |
|---|---|---|
| MISS JENNIFER A HARRIS | — | 1336215466 |
| GAIL WILSON | MS | 1831471002 |
| MISS KAREN ALTHEA JOHNSON | — | 1932481934 |
| SANDRA MILENA VARGAS | M.S | 1316296221 |
| ALEXANDER MIRANDA | LMHC | 1225404593 |
| CRISTINA M SERRANO | LMHC | 1649622168 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.