Individual provider · Type 1 NPI

Jon Waller, LMHC

Counselor · Tamarac, FL

NPI number 1790331270 Active

Practice location

4800 W Commercial Blvd
Tamarac, FL 33319-2879

Call (954) 300-3244 Map

Mailing address

925 Intracoastal Dr Apt 8
Fort Lauderdale, FL 33304-3688

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMH12508 (FL)

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 1790331270

Jon Waller, LMHC's National Provider Identifier is 1790331270, issued on Aug 12, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tamarac, FL. The record was last updated on Aug 12, 2019.