Individual provider · Type 1 NPI
Ebony Waller, LMFT, RPT, PhD
Marriage & Family Therapist · Cherry Valley, IL
Practice location
7572 N Cherryvale Blvd Apt 204
Cherry Valley, IL 61016-9305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 166.001541 (IL) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
About NPI 1982431094
Ebony Waller, LMFT, RPT, PhD's National Provider Identifier is 1982431094, issued on Sep 14, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Cherry Valley, IL. The record was last updated on Sep 14, 2024.