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Jon Waller, LMHC
Counselor in Tamarac, Florida
NPI 1790331270

Jon Waller is a Counselor based in Fort Lauderdale, FL. Jon Waller practices in Tamarac, FL and has the professional credentials of LMHC. The NPI Number for Jon Waller is 1790331270 and holds a License No. MH12508 (Florida).

The current practice location address for Jon Waller is 4800 W Commercial Blvd, Tamarac, FL and can be reached out via phone at 954-300-3244.

Location: 4800 W Commercial Blvd, Tamarac, FL, 33304-3688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790331270
Provider Name
Jon Waller
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
4800 W Commercial Blvd, Tamarac, FL, 33304-3688
Phone Number
954-300-3244
Fax Number
Provider Enumeration Date
08/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4800 W Commercial Blvd
City
Tamarac
State
Florida
Zip
33319-2879
Phone Number
954-300-3244
Fax Number
person
Provider Business Mailing Address Details
Address
4800 W Commercial Blvd
City
Tamarac
State
Florida
Zip
33319-2879
Phone Number
954-300-3244
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MH12508 (Florida)
Definition
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.
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