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Dr. Byron Waller, PHD
Professional Counselor in South Holland, Illinois
NPI 1013064328

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

The current practice location address for Byron Waller is 401 E 162Nd St, South Holland, IL and can be reached out via phone at 708-339-2769. You can also correspond with Byron Waller through the mailing address at 25140 SPRING ST, MANHATTAN, IL - 60442-1403 (mailing address contact number: 815-478-9648).

Location: 401 E 162Nd St, South Holland, IL, 60442-1403
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
401 E 162Nd St, South Holland, IL, 60442-1403
Phone Number
708-339-2769
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
401 E 162Nd St
City
South Holland
State
Illinois
Zip
60473-2236
Phone Number
708-339-2769
Fax Number
person
Provider Business Mailing Address Details
Address
25140 Spring St
City
Manhattan
State
Illinois
Zip
60442-1403
Phone Number
815-478-9648
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(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.
(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.
(Illinois)
Definition
Definition to come...
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