Individual provider · Type 1 NPI

Rebecca Waller-Ellison, MA

Mental Health Counselor · Lakeland, FL

NPI number 1083301840 Active

Practice location

905 S Missouri Ave
Lakeland, FL 33803-1033

Call (863) 450-3626 Map

Mailing address

1119 Sugartree Dr S
Lakeland, FL 33813-1867

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH20732 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1083301840

Rebecca Waller-Ellison, MA's National Provider Identifier is 1083301840, issued on Apr 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeland, FL. The record was last updated on Apr 21, 2023.