Individual provider · Type 1 NPI
Katie Waller, LCDC
Addiction (Substance Use Disorder) Counselor · Huntsville, TX
NPI number
1750816930
Active
Practice location
1523 Normal Park Dr, Suite C
Huntsville, TX 77340-4297
Mailing address
PO Box 474
Angleton, TX 77516-0474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12081 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750816930
Katie Waller, LCDC's National Provider Identifier is 1750816930, issued on Apr 26, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Huntsville, TX. The record was last updated on Apr 26, 2017.