Individual provider · Type 1 NPI

Richard Jerrid Dewalden, LMHC

Mental Health Counselor · Minneola, FL

NPI number 1104788827 Active

Practice location

881 Boxelder Ave
Minneola, FL 34715-6095

Call (407) 761-3953 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11314 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1104788827

Richard Jerrid Dewalden, LMHC's National Provider Identifier is 1104788827, issued on Dec 1, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneola, FL. The record was last updated on Dec 1, 2025.