Jonathan Thomas Wallis, MA, LMHCA

NPI #1134738222 in Everett, Washington

Provider Information

NPI Number: 1134738222
Entity Type: Individual
Name: Jonathan Thomas Wallis, MA, LMHCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MA, LMHCA
Enumeration Date: Jul 24, 2020
Last Updated: Jan 10, 2022

Practice Location

Address: 811 MADISON ST
City: Everett
State: Washington
ZIP Code: 98203-4543
Phone: (425) 212-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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