Individual provider · Type 1 NPI

Elle Marie Waller, BS, R-AAC

Counselor · Longview, WA

NPI number 1124846860 Active

Practice location

1400 Commerce Ave
Longview, WA 98632-3756

Call (360) 998-2047 Map

Fax (844) 612-6673

Mailing address

PO Box 2394
Longview, WA 98632-8455

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG70168197 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124846860

Elle Marie Waller, BS, R-AAC's National Provider Identifier is 1124846860, issued on Oct 1, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Aug 24, 2026.