Individual provider · Type 1 NPI

Tionell Waddler, LPC

Mental Health Counselor · Quantico, VA

NPI number 1912267261 Active

Practice location

24195 Belleau Ave
Quantico, VA 22134-5106

Mailing address

17 Ridge Rd
Stafford, VA 22556-1242

Other practice locations

  • 17 Ridge Rd, Stafford, VA 22556-1242 · (571) 230-7182

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0701008108 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1912267261

Tionell Waddler, LPC's National Provider Identifier is 1912267261, issued on May 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Quantico, VA. The record was last updated on Feb 10, 2025.