person
Kevin Waller, LPCS,LCAS,CCS
Addiction (Substance Use Disorder) Counselor in Old Fort, North Carolina
NPI 1023596244

Kevin Waller is an Addiction (Substance Use Disorder) Counselor based in Old Fort, NC and is specialized in Addiction (Substance Use Disorder). Kevin Waller practices in Old Fort, NC and has the professional credentials of LPCS,LCAS,CCS. The NPI Number for Kevin Waller is 1023596244 and holds a License No. 20998 (North Carolina).

The current practice location address for Kevin Waller is 363 Graphite Rd, Old Fort, NC and can be reached out via phone at 828-668-7590.

Location: 363 Graphite Rd, Old Fort, NC, 28762-9455
person
Provider Profile Details
NPI Number
1023596244
Provider Name
Kevin Waller
Credential
LPCS,LCAS,CCS
Provider Entity Type
Individual
Gender
Male
Address
363 Graphite Rd, Old Fort, NC, 28762-9455
Phone Number
828-668-7590
Fax Number
Provider Enumeration Date
07/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
363 Graphite Rd
City
State
Zip
28762-9455
Phone Number
828-668-7590
Fax Number
person
Provider Business Mailing Address Details
Address
363 Graphite Rd
City
State
Zip
28762-9455
Phone Number
828-668-7590
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
S7822 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
20998 (North Carolina)
Definition
Definition to come...
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