Individual provider · Type 1 NPI

Gloria Jean Waller, LPC

Professional Counselor · El Paso, TX

NPI number 1154811438 Active

Practice location

1900 Denver Ave
El Paso, TX 79902-3008

Call (915) 544-2349 Map

Fax (915) 639-9532

Mailing address

4365 Loma Alegre Dr
El Paso, TX 79934-3766

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12881 (TX)
Professional Counselor Primary 101YP2500X73537 (TX)

Professional Counselor: Definition to come...

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About NPI 1154811438

Gloria Jean Waller, LPC's National Provider Identifier is 1154811438, issued on May 13, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in El Paso, TX. The record was last updated on Jun 5, 2020.