person
Jason E Walls, LMHC
Mental Health Counselor in Bloomington, Indiana
NPI 1306278015

Jason E Walls is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Jason E Walls practices in Bloomington, IN and has the professional credentials of LMHC. The NPI Number for Jason E Walls is 1306278015 and holds a License No. (Indiana).

The current practice location address for Jason E Walls is 727 W 2Nd St, Bloomington, IN and can be reached out via phone at 812-353-3450 and via fax at 812-353-3451.

Location: 727 W 2Nd St, Bloomington, IN, 46219-4959
person
Provider Profile Details
NPI Number
1306278015
Provider Name
Jason E Walls
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
727 W 2Nd St, Bloomington, IN, 46219-4959
Phone Number
812-353-3450
Fax Number
812-353-3451
Provider Enumeration Date
08/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300081403 05 IN
institution
Provider Business Practice Location Address Details
Address
727 W 2Nd St
City
State
Zip
47403-2209
Phone Number
812-353-3450
Fax Number
812-353-3451
person
Provider Business Mailing Address Details
Address
727 W 2Nd St
City
State
Zip
47403-2209
Phone Number
812-353-3450
Fax Number
812-353-3451
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39004636A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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