Individual provider · Type 1 NPI

Sierra Waller

Professional Counselor · Chicago, IL

NPI number 1225740772 Active

Practice location

3338 N Lincoln Ave
Chicago, IL 60657-1108

Mailing address

2420 N Greenview Ave Apt 2F
Chicago, IL 60614-8766

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1225740772

Sierra Waller's National Provider Identifier is 1225740772, issued on Dec 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Dec 15, 2022.