Wallis, Jonathan Marc

Wallis, Jonathan Marc is an sole proprietor health care provider with primary practice located at 1610 Scott St , San Francisco CA 94115-3014. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wallis, Jonathan Marc can be contacted via phone (415) 820-9609.

Contact Information

Primary practice address
1610 Scott St San Francisco CA 94115-3014
Phone: (415) 820-9609
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS19858 California

Profile Details

NPI number 1124253307
LBN Legal business name Wallis, Jonathan Marc
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 15 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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