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Donald E. Waller
Professional Counselor in Jackson, Mississippi
NPI 1427350453

Donald E. Waller is a Professional Counselor based in Jackson, MS and is specialized in Professional. Donald E. Waller practices in Jackson, MS. The NPI Number for Donald E. Waller is 1427350453 and holds a License No. 1497 (Mississippi).

The current practice location address for Donald E. Waller is 431 N State St, Jackson, MS and can be reached out via phone at 601-949-1949.

Location: 431 N State St, Jackson, MS, 39211-5835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427350453
Provider Name
Donald E. Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
431 N State St, Jackson, MS, 39211-5835
Phone Number
601-949-1949
Fax Number
Provider Enumeration Date
11/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
431 N State St
City
Jackson
State
Mississippi
Zip
39201-1108
Phone Number
601-949-1949
Fax Number
person
Provider Business Mailing Address Details
Address
431 N State St
City
Jackson
State
Mississippi
Zip
39201-1108
Phone Number
601-949-1949
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1497 (Mississippi)
Definition
Definition to come...
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