person
Mr. Joe Michael Waller, LPC
School Counselor in Mineola, Texas
NPI 1790375103

Joe Michael Waller is a School Counselor based in Tyler, TX and is specialized in School. Joe Michael Waller practices in Mineola, TX and has the professional credentials of LPC. The NPI Number for Joe Michael Waller is 1790375103 and holds a License No. (Texas).

The current practice location address for Joe Michael Waller is 703 W Patten St, Mineola, TX and can be reached out via phone at 903-569-5409 and via fax at 900-353-5738.

Location: 703 W Patten St, Mineola, TX, 75702-7704
person
Provider Profile Details
NPI Number
1790375103
Provider Name
Joe Michael Waller
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
703 W Patten St, Mineola, TX, 75702-7704
Phone Number
903-569-5409
Fax Number
900-353-5738
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
419100901 05 TX
institution
Provider Business Practice Location Address Details
Address
703 W Patten St
City
State
Zip
75773-1541
Phone Number
903-569-5409
Fax Number
900-353-5738
person
Provider Business Mailing Address Details
Address
703 W Patten St
City
State
Zip
75773-1541
Phone Number
903-569-5409
Fax Number
900-353-5738
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
()
Definition
Definition to come...
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