person
Dr. John R. Wallis, DMIN
Pastoral Counselor in Ft Lauderdale, Florida
NPI 1023161197

John R. Wallis is a Pastoral Counselor based in Ft Lauderdale, FL and is specialized in Pastoral. John R. Wallis practices in Ft Lauderdale, FL and has the professional credentials of DMIN. The NPI Number for John R. Wallis is 1023161197 and holds a License No. MT1251 (Florida).

The current practice location address for John R. Wallis is 1417 Se 4Th St, Ft Lauderdale, FL and can be reached out via phone at 954-463-2273 and via fax at 954-779-1643.

Location: 1417 Se 4Th St, Ft Lauderdale, FL, 33301-2319
person
Provider Profile Details
NPI Number
1023161197
Provider Name
John R. Wallis
Credential
DMIN
Provider Entity Type
Individual
Gender
Male
Address
1417 Se 4Th St, Ft Lauderdale, FL, 33301-2319
Phone Number
954-463-2273
Fax Number
954-779-1643
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1417 Se 4Th St
City
State
Zip
33301-2319
Phone Number
954-463-2273
Fax Number
954-779-1643
person
Provider Business Mailing Address Details
Address
1417 Se 4Th St
City
State
Zip
33301-2319
Phone Number
954-463-2273
Fax Number
954-779-1643
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
MT1251 (Florida)
Definition
Definition to come...
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