Individual provider · Type 1 NPI

Kristin Nichole Waller, CDCA

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1306438965 Active

Practice location

1791 Alum Creek Dr
Columbus, OH 43207-1708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X173851 (OH)

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

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About NPI 1306438965

Kristin Nichole Waller, CDCA's National Provider Identifier is 1306438965, issued on Feb 5, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Feb 5, 2021.