Individual provider · Type 1 NPI

Cynthia Waller

Mental Health Counselor · Detroit, MI

NPI number 1194244897 Active

Practice location

3430 3rd St
Detroit, MI 48201-2202

Fax (313) 692-4095

Mailing address

18075 Meyers Rd
Detroit, MI 48235-1427

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194244897

Cynthia Waller's National Provider Identifier is 1194244897, issued on Sep 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Sep 13, 2017.