Individual provider · Type 1 NPI

Donnie M. Waller, LSW

Mental Health Counselor · Chandler, OK

NPI number 1013020957 Active

Practice location

112 Mckinley Ave
Chandler, OK 74834-1622

Fax (405) 240-5008

Mailing address

RR 2 Box 220B
Meeker, OK 74855-9305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1775 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1013020957

Donnie M. Waller, LSW's National Provider Identifier is 1013020957, issued on Aug 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chandler, OK. The record was last updated on Jul 8, 2007.