Individual provider · Type 1 NPI
Jason Waller, LPC
Professional Counselor · Hot Springs, AR
NPI number
1780987362
Active
Practice location
3634 Central Ave Ste A
Hot Springs, AR 71913-6472
Other practice locations
- 106B Shadow Peak Ln, Hot Springs, AR 71913-2376 · (501) 655-6483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | A1708247 (AR) |
| Mental Health Counselor | 101YM0800X | P2108017 (AR) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor Primary | 101YP2500X | P2108017 (AR) |
Professional Counselor: Definition to come...
Another provider at this address
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- Gunner Golden, LACProfessional Counselor Hot Springs, AR NPI 1063051373
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- Amy Yang, LPCProfessional Counselor Hot Springs, AR NPI 1073977203
About NPI 1780987362
Jason Waller, LPC's National Provider Identifier is 1780987362, issued on Dec 21, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hot Springs, AR. The record was last updated on Oct 27, 2021.