Individual provider · Type 1 NPI

Jonathan Thomas Wallis, MA, LMHCA

Counselor · Everett, WA

NPI number 1134738222 Active

Practice location

811 Madison St
Everett, WA 98203-4543

Call (425) 212-4200 Map

Fax (425) 212-4201

Mailing address

PO Box 2569
Everett, WA 98213-0569

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor Primary 101Y00000X61188175 (WA)

Counselor: 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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About NPI 1134738222

Jonathan Thomas Wallis, MA, LMHCA's National Provider Identifier is 1134738222, issued on Jul 24, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Everett, WA. The record was last updated on Jan 10, 2022.