person
Mr. Glenn R Waller, LPC
Professional Counselor in Mccomb, Mississippi
NPI 1689607814

Glenn R Waller is a Professional Counselor based in Oxford, MS and is specialized in Professional. Glenn R Waller practices in Mccomb, MS and has the professional credentials of LPC. The NPI Number for Glenn R Waller is 1689607814 and holds a License No. 0695 (Mississippi).

The current practice location address for Glenn R Waller is 1701 White St, Mccomb, MS and can be reached out via phone at 601-684-2173 and via fax at 601-249-4234.

Location: 1701 White St, Mccomb, MS, 38655-8882
person
Provider Profile Details
NPI Number
1689607814
Provider Name
Glenn R Waller
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1701 White St, Mccomb, MS, 38655-8882
Phone Number
601-684-2173
Fax Number
601-249-4234
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1701 White St
City
State
Zip
39648-2711
Phone Number
601-684-2173
Fax Number
601-249-4234
person
Provider Business Mailing Address Details
Address
1701 White St
City
State
Zip
39648-2711
Phone Number
601-684-2173
Fax Number
601-249-4234
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0695 (Mississippi)
Definition
Definition to come...
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