Individual provider · Type 1 NPI

Nicole R. Waller

Mental Health Counselor · West Des Moines, IA

NPI number 1710845060 Active

Practice location

1031 Office Park Rd Ste 6
West Des Moines, IA 50265-2582

Call (515) 304-5475 Map

Mailing address

1706 Sycamore St
Dallas Center, IA 50063-1033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X130436 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1710845060

Nicole R. Waller's National Provider Identifier is 1710845060, issued on Jan 14, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Des Moines, IA. The record was last updated on Jan 14, 2026.