Individual provider · Type 1 NPI

Jeffrey G. Waddick Jr., LMHC

Mental Health Counselor · Deland, FL

NPI number 1720861776 Active

Practice location

201 W Plymouth Ave
Deland, FL 32720-2753

Fax (386) 873-2786

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Mental Health Counselor 101YM0800XMH26286 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1720861776

Jeffrey G. Waddick Jr., LMHC's National Provider Identifier is 1720861776, issued on Aug 15, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Deland, FL. The record was last updated on Aug 19, 2025.