Individual provider · Type 1 NPI

Edward Waller Jr.

Counselor · Plant City, FL

NPI number 1811387178 Active

Practice location

1001 E Baker St, SUITE100
Plant City, FL 33563-3700

Call (813) 754-5555 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1811387178

Edward Waller Jr.'s National Provider Identifier is 1811387178, issued on Jan 26, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Plant City, FL. The record was last updated on Jan 26, 2015.