Individual provider · Type 1 NPI
Byron Waller, PhD
Professional Counselor · Plainfield, IL
NPI number
1013064328
Active
Practice location
12653 S Potomac Dr
Plainfield, IL 60585-9620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 180005749 (IL) |
| Professional Counselor Primary | 101YP2500X | 180005749 (IL) |
| Counselor | 101Y00000X | 180005749 (IL) |
Professional Counselor: Definition to come...
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About NPI 1013064328
Byron Waller, PhD's National Provider Identifier is 1013064328, issued on Jan 5, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Plainfield, IL. The record was last updated on May 8, 2024.