Individual provider · Type 1 NPI

Brianna Waller, MS

Counselor · Marion, IL

NPI number 1922384932 Active

Practice location

1307 W Main St
Marion, IL 62959-1139

Call (618) 997-5336 Map

Fax (618) 993-2969

Mailing address

500 Barnett Ave Apt B
Carterville, IL 62918-5099

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 1922384932

Brianna Waller, MS's National Provider Identifier is 1922384932, issued on Oct 24, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Marion, IL. The record was last updated on Oct 24, 2011.