John D Wallace
John D Wallace is a Mental Health Counselor in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2013
- Specialties on file
- 4
Practice location Address checks out
1455 NW 53rd St Apt 222Miami, FL 33142
Phone: (904) 418-3893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X · Licence 235276 (FL) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Respite Care | Taxonomy 385H00000X · Licence 235276 (FL) |
| Adult Companion | Taxonomy 372600000X · Licence 235276 (FL) |
Record details
| NPI number | 1679900161 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 30, 2013 |
| Last updated in NPPES | June 29, 2018 |
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