Individual provider · Type 1 NPI

Susan Waller

Counselor · Canton, OH

NPI number 1124985726 Active

Practice location

624 Market Ave N
Canton, OH 44702-1017

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC.2507101-TRNE (OH)

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 1124985726

Susan Waller's National Provider Identifier is 1124985726, issued on Jan 6, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Canton, OH. The record was last updated on Oct 6, 2026.