Individual provider · Type 1 NPI

Amanda Waller, LPC

Professional Counselor · Eatontown, NJ

NPI number 1710590146 Active

Practice location

154 Waypoint Dr
Eatontown, NJ 07724-2184

Call (908) 310-7788 Map

Mailing address

409 South Street PO Box 1111
Eatontown, NJ 07724-4111

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00637200 (NJ)

Professional Counselor: Definition to come...

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About NPI 1710590146

Amanda Waller, LPC's National Provider Identifier is 1710590146, issued on Aug 25, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eatontown, NJ. The record was last updated on Dec 9, 2022.