Individual provider · Type 1 NPI

William W. Waller, CPH, MHFA

Addiction (Substance Use Disorder) Counselor · Colorado Springs, CO

NPI number 1174492532 Active

Practice location

806 S Tejon St
Colorado Springs, CO 80903-4149

Mailing address

14540 Rosholt Loop
Colorado Springs, CO 80921-2000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSTUDENT2026 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174492532

William W. Waller, CPH, MHFA's National Provider Identifier is 1174492532, issued on Nov 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Nov 3, 2025.