Wallis, John Robert

Wallis, John Robert is an individual health care provider with primary practice located at 3901 E Bogard Rd , Wasilla AK 99654-6068. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wallis, John Robert can be contacted via phone (907) 376-0459.

Contact Information

Primary practice address
3901 E Bogard Rd Wasilla AK 99654-6068
Phone: (907) 376-0459
Fax: (907) 376-0493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X AA450 Alaska

Profile Details

NPI number 1851545396
LBN Legal business name Wallis, John Robert
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2008
Last updated Nov 11th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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