Dr. John R. Wallis, DMIN
Dr. John R. Wallis, DMIN is a Pastoral Counselor in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
1417 SE 4th StFt Lauderdale, FL 33301-2319
Phone: (954) 463-2273
Fax: (954) 779-1643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pastoral Counselor (primary) | Taxonomy 101YP1600X · Licence MT1251 (FL) |
|---|
Record details
| NPI number | 1023161197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMIN |
| Sole proprietor | No |
| NPI enumerated | January 19, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1417 Se 4th St, Ft Lauderdale, FL 33301-2319 |