person
John Robert Wallis, LPC
Mental Health Counselor in Wasilla, Alaska
NPI 1851545396

John Robert Wallis is a Mental Health Counselor based in Palmer, AK and is specialized in Mental Health. John Robert Wallis practices in Wasilla, AK and has the professional credentials of LPC. The NPI Number for John Robert Wallis is 1851545396 and holds a License No. AA450 (Alaska).

The current practice location address for John Robert Wallis is 3901 E Bogard Rd, Wasilla, AK and can be reached out via phone at 907-376-0459 and via fax at 907-376-0493. You can also correspond with John Robert Wallis through the mailing address at 1825 S CHUGACH ST, PALMER, AK - 99645-6795 (mailing address contact number: 907-746-4080).

Location: 3901 E Bogard Rd, Wasilla, AK, 99645-6795
person
Provider Profile Details
NPI Number
1851545396
Provider Name
John Robert Wallis
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3901 E Bogard Rd, Wasilla, AK, 99645-6795
Phone Number
907-376-0459
Fax Number
907-376-0493
Provider Enumeration Date
11/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3901 E Bogard Rd
City
State
Zip
99654-6068
Phone Number
907-376-0459
Fax Number
907-376-0493
person
Provider Business Mailing Address Details
Address
3901 E Bogard Rd
City
State
Zip
99654-6068
Phone Number
907-376-0459
Fax Number
907-376-0493
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
AA450 (Alaska)
Definition
Definition to come...
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