Individual provider · Type 1 NPI

Kimberly B. Waller, MA, LPC

Professional Counselor · Raleigh, NC

NPI number 1417233073 Active

Practice location

107 Sunnybrook Rd, Wake Brook Building
Raleigh, NC 27610-1827

Call (919) 747-0507 Map

Fax (919) 747-0577

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7498 (NC)

Professional Counselor: Definition to come...

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About NPI 1417233073

Kimberly B. Waller, MA, LPC's National Provider Identifier is 1417233073, issued on Oct 27, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raleigh, NC. The record was last updated on Oct 27, 2011.