Individual provider · Type 1 NPI
John R. Wallis, D.MIN.
Pastoral Counselor · Fort Lauderdale, FL
NPI number
1023161197
Active
Practice location
1417 SE 4th St
Fort Lauderdale, FL 33301-2319
Fax (954) 779-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | MT1251 (FL) |
Pastoral Counselor: Definition to come...
2 other providers at this address
Other pastoral counselor providers in Fort Lauderdale
About NPI 1023161197
John R. Wallis, D.MIN.'s National Provider Identifier is 1023161197, issued on Jan 19, 2007. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 8, 2007.