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Dr. Byron Waller, PHD
Counselor in Plainfield, Illinois
NPI 1013064328

Byron Waller is a Counselor based in Plainfield, IL. Byron Waller practices in Plainfield, IL and has the professional credentials of PHD. The NPI Number for Byron Waller is 1013064328 and holds a License No. 180005749 (Illinois).

The current practice location address for Byron Waller is 12653 S Potomac Dr, Plainfield, IL and can be reached out via phone at 312-218-8483.

Location: 12653 S Potomac Dr, Plainfield, IL, 60585-9620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013064328
Provider Name
Byron Waller
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
12653 S Potomac Dr, Plainfield, IL, 60585-9620
Phone Number
312-218-8483
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
12653 S Potomac Dr
City
Plainfield
State
Illinois
Zip
60585-9620
Phone Number
312-218-8483
Fax Number
person
Provider Business Mailing Address Details
Address
12653 S Potomac Dr
City
Plainfield
State
Illinois
Zip
60585-9620
Phone Number
312-218-8483
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180005749 (Illinois)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180005749 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180005749 (Illinois)
Definition
Definition to come...
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