Individual provider · Type 1 NPI

Jeria Brown-Waller

Mental Health Counselor · Niles, OH

NPI number 1700355872 Active

Practice location

165 E Park Ave
Niles, OH 44446-2352

Call (330) 544-8005 Map

Fax (330) 544-9379

Mailing address

2680 Black Oak Dr
Niles, OH 44446-4469

Other practice locations

  • 388 E Midlothian Blvd, Youngstown, OH 44507-1948 · (330) 542-6313
  • 2576 Mccleary Jacoby Rd, Cortland, OH 44410-1706 · (740) 218-3112
  • 2722 W Liberty St, Girard, OH 44420-3116 · (330) 542-6262

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC.2003066 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XC.2003066 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1700355872

Jeria Brown-Waller's National Provider Identifier is 1700355872, issued on Nov 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Niles, OH. The record was last updated on Nov 8, 2023.