Individual provider · Type 1 NPI

Glenn R. Waller, LPC

Professional Counselor · Mccomb, MS

NPI number 1689607814 Active

Practice location

1701 White St
Mccomb, MS 39648-2711

Call (601) 684-2173 Map

Fax (601) 249-4234

Mailing address

3 County Road 2091
Oxford, MS 38655-8882

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0695 (MS)

Professional Counselor: Definition to come...

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About NPI 1689607814

Glenn R. Waller, LPC's National Provider Identifier is 1689607814, issued on Jul 9, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mccomb, MS. The record was last updated on Jul 8, 2007.