Individual provider · Type 1 NPI

Jake Wallin

Mental Health Counselor · Orlando, FL

NPI number 1124604772 Active

Practice location

3612 Westland Dr
Orlando, FL 32818-2807

Call (407) 434-9792 Map

Other practice locations

  • 6963 W Kl Ave Ste B, Kalamazoo, MI 49009-8043 · (269) 544-7720

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124604772

Jake Wallin's National Provider Identifier is 1124604772, issued on Mar 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Mar 19, 2025.