Male or Other

Jake Wallin

Mental Health Counselor in Boynton Beach, FL(View on Map)

Full Name

Jake Wallin

NPI Number

1124604772

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/23/2021

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1210 HOLLY SPRINGS CIR
8198 S JOG RD STE 201

City

Orlando
Boynton Beach

State

FL
FL

Postal Code

32825-5487
33472-6903

Country

US
US

Telephone Number

N/A
(561) 810-6631

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/23/2021

Provider Address

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