Individual provider · Type 1 NPI
Jonathan Keith Wall, MSW
Mental Health Counselor · Jupiter, FL
NPI number
1891483590
Active
Practice location
114 Date Palm Dr
Jupiter, FL 33458-2802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | ISW12721 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1891483590
Jonathan Keith Wall, MSW's National Provider Identifier is 1891483590, issued on May 1, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jupiter, FL. The record was last updated on May 1, 2023.