Individual provider · Type 1 NPI
Stephen Waller-De la Rosa, LPC
Professional Counselor · Austin, TX
NPI number
1851186167
Active
Practice location
5900 Balcones Dr # 8493
Austin, TX 78731-4257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 85790 (TX) |
Professional Counselor: Definition to come...
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About NPI 1851186167
Stephen Waller-De la Rosa, LPC's National Provider Identifier is 1851186167, issued on Apr 9, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Apr 10, 2025.