Individual provider · Type 1 NPI
Ronald Waller, RN
Mental Health Counselor · Centreville, VA
NPI number
1598200370
Active
Practice location
5900 Fort Dr Ste 207
Centreville, VA 20121-2425
Fax (703) 659-9607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0001152470 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1598200370
Ronald Waller, RN's National Provider Identifier is 1598200370, issued on Jan 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centreville, VA. The record was last updated on Jan 3, 2017.