JONATHAN THOMAS WALLIS

EVERETT, WA
NPI1134738222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  61188175)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-07-24
Last Update Date2022-01-10
Business Address
JONATHAN THOMAS WALLIS MA, LMHCA
811 MADISON ST
EVERETT, WA 98203-4543
Phone number: 425-212-4200
Mailing Address
JONATHAN THOMAS WALLIS MA, LMHCA
PO BOX 2569
EVERETT, WA 98213-0569
Phone number: 425-212-4200
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