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Charlotte Waller, LMHC
Mental Health Counselor in Evansville, Indiana
NPI 1346490364

Charlotte Waller is a Mental Health Counselor based in Evansville, IN and is specialized in Mental Health. Charlotte Waller practices in Evansville, IN and has the professional credentials of LMHC. The NPI Number for Charlotte Waller is 1346490364 and holds a License No. 39000523A (Indiana).

The current practice location address for Charlotte Waller is 4001 John Street, Evansville, IN and can be reached out via phone at 812-473-3144 and via fax at 812-422-7558.

Location: 4001 John Street, Evansville, IN, 47713-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346490364
Provider Name
Charlotte Waller
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
4001 John Street, Evansville, IN, 47713-1230
Phone Number
812-473-3144
Fax Number
812-422-7558
Provider Enumeration Date
09/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100240880 05 IN
institution
Provider Business Practice Location Address Details
Address
4001 John Street
City
Evansville
State
Indiana
Zip
47714-0247
Phone Number
812-473-3144
Fax Number
812-422-7558
person
Provider Business Mailing Address Details
Address
4001 John Street
City
Evansville
State
Indiana
Zip
47714-0247
Phone Number
812-473-3144
Fax Number
812-422-7558
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39000523A (Indiana)
Definition
Definition to come...
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